MKM 2001 - Registration

In order to participate in MKM 2001 please complete the following form and submit it by September 21, 2001 (beforehand please have a look at the general information page):
(Alternatively print out the completed form and fax it to +43 732 2468 9930.)
Salutation
Forename
Surname
Affiliation
Address
E-mail
Fax (optional)

I want to take part in the workshop dinner.

I want to pay cash at the registration desk.
by credit card: , card number: .

I want to make a reservation for the three-star hotel ( room).
four-star hotel ( room).

Date of arrival/departure: September /, 2001.

I will take part in the OpenMath Workshop.

Additional remarks:

Maintained by Christian Vogt
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