PRE-REGISTRATION FORM
to attend
6th International Seminar
    on
FERROELASTICS PHYSICS

September 22-25, 2009
Voronezh, Russia
ISFP-6(11)

Family name:______________________
First name:_______________________
Academic degree:__________________
Affiliation:_________________________
Address:__________________________
Zip code, City:_____________________
Phone:___________________________
Fax:_____________________________
E-mail:___________________________
 I will be accompanied by person(s)
I plan to present
 an oral
 a poster
report entitled______________________
_________________________________
_________________________________
_________________________________
_________________________________

This form should be sent before
February 28, 2009 to Scientific Secretary
by Mail or E-mail.


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