All Hands Meeting & tutorial registration form

Title: First name: Family name:

Institution:

Address:


City: Zip code: Country:

Short institution name on the badge (Example "VU ITPA", "IFJPAN"):

Phone: Fax: Email:

REGISTRATION FEE (includes: admission to the conference sessions, workshop materials, lunches, coffee breaks, reception, conference dinner, excursion)

Registration fee for official BG participants of the 1st AHM is 100 EUR (1 EUR = 3,45 LTL)
Mark here to confirm, that you will pay the registration fee 100 EUR:

Method of payment:
Bank transfer Cash on place (345 LTL)

Accountholder: Bank: Bank adress: Account No: SWIFT: Transfer Name:

Institute of Theoretical Physics and Astronomy of Vilnius University AB SEB Vilniaus bankas Gedimino ave. 12, LT-01103, Vilnius Lithuania LT857044060000907555 CBVILT2X BalticGrid AHM

I would like to attend the following activity group meetings:
NA1 NA2 NA3 NA4 SA1 SA2 JRA1

Registration to gLite tutorial is closed!
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Meals:
Vegetarian Regular