13th Joint Workshop on Electron Cyclotron Emission and
Electron Cyclotron Resonance Heating
REGISTRATION FORM

Name:
Please, mark the checkboxes corresponding to your case.

[ ]  I need the Official Letter of Invitation

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Registration fee payment method:

[ ]  bank transfer

The early registration fee of 350 euros per participant is valid until March 15, 2004. After this date
the registration fee is 400 euros. Please, make your payment via bank transfer to:
Bank: ASSOTSIATSIYA
Address: 61Gorky Street, Nizhny Novgorod 603000, Russia
Beneficiary Customer: Institute of Applied Physics RAS
Adress: 46 Ulyanov Str., 603950 Nizhny Novgorod, Russia
Phone: +7(8312)365810, fax: + 7 (8312) 362061
Account Number: 40503978700001000001
Corresponding Bank: Commerzbank AG, Frankfurt/Main, Germany
Account Number: 400886694901 EUR
SWIFT COBADEFF
Payment reference: “Tied up payment for the 13th Joint Workshop on Electron Cyclotron
Emission   and Electron Cyclotron Resonance Heating”
Please, do not forget to note the objective of payment in the payment reference field and make sure
that the transfer request shows the name of participant.

[ ]  payment at the beginning of the meeting (400 euros, cash)

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[ ] I need the hotel reservation made by LOC

Date of Arrival:	
Date of departure:	
Total number of night(s):

Preferable room type (the approximate prices are given for reference)
[ ] Single Standard (30 – 60 EUR) 		[ ] Single Business (60 – 80 EUR)
[ ] Double Standard (20 – 40 EUR*)		[ ] Double Business (50 – 60 EUR*)
[ ] I like to share my room with	 (name of the other  participant)
[ ] Other

* The price per one person is listed.  The total price of double apartments is twice higher.
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Special needs or questions:



This form has to be returned before March 1, 2004 preferably by e-mail.

Contact information:

Alexander Shalashov (Secretary)
Institute of Applied Physics RAS
Ulyanov str. 46, 603950 Nizhny Novgorod, Russia
phone:    +7 (8312) 164966, 160623
fax:         +7 (8312) 160616, 362061
e-mail:     ec13@appl.sci-nnov.ru