International Meteor Conference 2005

Print out the registration form (PDF | HTML) and send it to:

IMC 2005 - Jan Verbert
Public Observatory Urania
Jozef Mattheessensstraat 60
B-2540 Hove
Belgium

Registration deadline: sunday 4 september, 23h59 UT.

You can register for the conference electronically - just fill out this form. Field marked with (*) are required fields.

Please note: we will NOT send invitation letters to strangers. We ignore false registrations every day.

Name
First(*):
Middle:
Last(*):
Personal information
Phone:
E-mail:
Birthdate(*):	Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year:
Address
Street(*)
City(*)
Zip(*)
Country(*)
Additional information
I intend to travel by together with .
I need travel information from to Oostmalle.
I wish to stay in Belgium before and/or after the IMC and would like additional information.
I'm paying the advance (60 EUR) now, the remainder later. I'm paying the whole fee at once (120 EUR).
T-shirt: Size S (small) M (medium) L (large) XL (extra large) Gender Male Female (included in participation fee)
Vegetarian.
For participants wishing to contribute to the program
Lecture:
Requirements:	Duration: min.
Workshop:
Poster(s):	Space: m2

Comments


Either the entire fee of 130 EUR or a pre-payment of 60 EUR should be sent to the IMO Treasurer, Ina Rendtel. Follow the payment instructions. Participants making a pre-payment only have to pay the remaining fee in cash upon arrival in Oostmalle.

(registration closed)