SeCMan

Surname and name of the author

Email adress for communication

Surnames and names of co-authors

1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)
2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)
3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)

I am registering to participate in the conference (underline)

A) with scientific paper   B) with professional paper   C) without paper

The country from which the author-co-authors come

1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Author)
2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)
3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)
4. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)

Organization-name/address/mail/phone

1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Author)
2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)
3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)
4. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Co-author)

Number of authors and co-authors of the paper (underline)

a) Only the author

b) Author and one co-author

c) Author and two co-authors

d) ____________________

Topic name

Abstract (up to 150 words)

Keywords (up to 5 words)

Registration fee payment method and invoice data (underline and enter data)

A) Natural person                         

Name and surnime:

Adress:

B) Legal entity

Name of company:

Identification number:

TAX ID:

For payments from abroad VAT no .:

Address:

e-mail:

I want to present products and/or services at the exhibition part of the event

Yes       No

Please send me a special invitation and conditions for the exhibition part of the event by e-mail _______________________