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    	                     "The International Conference
                  Differential Geometry and Dynamical Systems DGDS-2015"
                                      (DGDS-2017)
                        12 - 15 October 2017, Bucharest, Romania

                                   Registration Form
        = to be sent before 4 October 2017 by email, to: vladimir.balan@upb.ro =

1.
First and family names:
Male/Female:
Affiliation:

2.
Arrival/departure data:

3.
I want to be accommodated on Campus:  Y/N
(or) I would reserve my own lodging: N/Y
I'll be accompanied by (full name):

4.
I will submit a contribution: Y/N
   Type: lecture 25'/communication 15'/poster (L/C/P):
   Overhead projector/PC/blackboard:          (O/P/B):

   Final title:
   Authors:
   Abstract/short abstract:

5.
I'll order the DGDS volume: Y/N
I'll attend the banquet:    Y/N

Comments, special requests:


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Note. In case that title/abstract and arrival/departure data were
      already sent to the organizers, this e-mail registration is NOT required.
      The registration fee will be payed upon arrival at the registration desk.
      Please check all the details on the DGDS-2017 web-page: www.mathem.pub.ro
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