CROinfo2005
May 13th, 2005, Zagreb, Croatia,
www.nsk.hr/croinfo, e-mail:croinfo@nsk.hr, Phone: ++385 1 616 4082, Fax: ++385 1 616 4371

APPLICATION FORM

Organizing Committee preffers online registration by submitting filled Application form (this page, see submit button at the bottom of the page). In a case you are not able to register online, please download this form, fill it and send it by e-mail (croinfo@nsk.hr) or fax ( ++385 1 616 4371) to the Organizing Committee.

 

Name and family name:
Title (Ph.D., M.Sc., Ms, Mr, etc.):
Position/job title:
Organization:
Type of organization:
Address:
Postcode and city:
Country:
Phone:
Fax:
E-mail:
   
Conference fee you are applying for (please tick the appropriate box): 
3000 kn or 400 EUR
2700 kn or 360 EUR
2100 kn
1890 kn
Please note: Payment must be received before April 24th, 2005 in order to guarantee your place. 
 
Signature: