f VULHM - REGISTRATION FORM

Registration Form

Please return before 1 May 2017

 

International Cross-Comparison Course Crown Condit

Name:*


Surname:*


Title(s):


Institution:*


Address:*


E-Mail:*


Tel:*


Invoice details

Affiliation/Institute:*


Address:*


VAT No.:*


Zip code:*


Country:*


E-Mail:*


Special alimentary needs (e.g. vegetarian/no pork)::



by carby bus (station Uherské Hradiště)by train (station Staré Město)
Date of arrival
Arrival time
Departure time
 I will need a transportation from/to bus or train station

Accommodation:



Other comments:


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