REGISTRATION FORM

Conference of the European Quaternary Malacologists

EQMal 2010

Molluscs and Quaternary Environment of Central Europe

A conference in honour of life and work of Professor Endre Krolopp (1935-2010)

Szeged (Hungary), 15th -18th August 2010

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).

Chosen session:

Title of presentation :

(in case of 2 presentations please add the details)

Plan to participate at the Conference and field trip (50 EUR)/ Only conference without field trip (30 EUR) (underline).

Please copy it and fill it and return this form by e-mail by 30th June 2010 to eqmal2010(at)gmail.com or fax to +36/62-544893