Registration 4M Workshop

Registration Form

First Name *
Sure Name *
	Title:
Affiliation*
Mailing Address
Phone
Fax
E-mail *
Name of accompanying person(s), if any
Arrival date / hour:
by plane (Bucharest Otopeni Airport)
/Flight No.:
Departure date / hour:
by plane (Bucharest Otopeni Airport)
/Flight No.:
Room charge, including breakfast and lunch ( in EUR/ night ):	55 Single	45 Partition in a double room	90 Double room
Number of nights:

Fields labelled * are mandatory