ࡱ> q` bjbjqPqP 8J:: %       4|||8<4#*"j"l"l"l"l"l"l"$-$h&:"- 2]^22"  "2  j"2j"   pEr |p"0#&&& v1TDi""d#2222444444444       9th International Symposium on Metal Elements in Environment, Medicine and Biology MEEMB 2009 Babes-Bolyai University Department of 91AV and Chemical Engeneering Cluj-Napoca, ROMANIA October 16-17 2009FOR OFFICE USE ONLYReservation no.InputOK to proceedDELEGATE REGISTRATION FORMREGISTRATION DEADLINE: Septemeber 30th, 2009 (Please complete BOTH sides of this form using BLOCK LETTERS)Family name: ____________________________First name: ________________________________________Title: ___________________________________Gender: Male ____ Female ____Address for the correspondence: ________________________________________________________________ ___________________________________________________________________________________________ _______________________________________________________Zip/Postal code: _______________________Name as you would like it to appear on your badge ____________________________________________Affiliation as you would like it to appear on your badge____________________________________________Tel.:____________________________________Fax:______________________________________E-mail:___________________________________________________________________________________I would like to contribute with: Oral presentation (20 min.)   Poster REGISTRATION FEE (includes welcome reception, conference materials including the book of abstracts, refreshments and coffee during the coffee brakes, lunches)Professor/PhD./Research Group Coordinator150  _________________Ph.D. Student50  _________________BSc & MSc Students0 (free)TOTAL _________________ACCOMMODATION Participants at this meeting are kindly asked arrange their accommodation at city hotels. The organizing committee will provide, on request, information about city hotels; a few links are available on the conference website, http://www.chem.ubbcluj.ro/romana/conferinte/MEEMB/MEEMB9intro.html. PAYMENT DETAILS Please arrange payment by Bank transfer to: Banca Comerciala Romana, str. Baritiu nr. 10-12, Cluj-Napoca, swift code: RNCBROBU Account number for EUR: RO16RNCB0106026604700008 Name of account holder: Universitatea "Babes-Bolyai" Cluj-Napoca, fiscal code 4305849 (please specify the name of the conference upon transfer) For payment in lei (local participants only): B.N. Trezoreria Cluj: RO76TREZ216504601X007224 In special cases payment on-site in cash instead of bank transfer can be arranged. Please contact the Secretariat in this respect. Signature: _____________________________________ Date: _______________________ ___________________________________________________________________________________________ Please contact the organizers if you have not received your details 2 weeks before the Conference Please post, fax or email both sides/pages of this form to: Department of 91AV and Chemical Engineering Cluj-Napoca Romania tel: +40264593833 fax. +40264590818 e-mail:  HYPERLINK "mailto:MEEMB@chem.ubbcluj.ro " MEEMB@chem.ubbcluj.ro  ___________________________________________________________________________________________     PAGE  PAGE 1 YZ_cdefѻpY@*@*hW5@B* CJOJQJ^JaJph3f0hh[5@B* CJOJQJ^JaJph3f-hh[@`B*CJOJQJ^JaJph30hh[5@`B*CJOJQJ^JaJph30hhX5@`B*CJ(OJQJ^JaJ(ph30hh[5@`B*CJ(OJQJ^JaJ(ph3*hW5@`B*CJ(OJQJ^JaJ(ph3!hh[0JB* CJ aJ ph3!hWhW0JB* CJ aJ phfh~jhtU "#Yef $$Ifa$gd$dh$Ifa$gd$dh$Ifa$gdW dh$Ifgd          ! 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