Conference of the European Quaternary Malacologists

EQMal 2010

Preliminary Registration Form

First- and Last Name:

Workplace/ Institution:

Mailing Address:

E-mail address:

Tel/Fax:

Accompanying person(s):

Please indicate if you wish to contribute with an

Oral /Poster presentation (underline)

Field of research to be presented/ Chosen session

Preliminary title of presentation (may be finalized at later date):

(Participants should have one oral and unlimited poster presentations at maximum, except the invited speakers) Applying for travel grant (Yes/No) (underline)

Please return this form by e-mail by 1st Nov. 2009 to eqmal2010(at)gmail.com or fax to +36/62-544893