second circular

Please, use this form only for one person. Please complete this form and return it to the Organizing Committee:
Christian Chmelik, Fakultät für Physik und Geowissenschaften, Linnéstr. 5, D-04103 Leipzig, phone +49 341 97 32531, fax +49 341 97 32549 or click 'Send' for electronic transmission (prefered).

Mr Mrs

Name, First Name, Title	, ,
company / university
street, house number	,
zip, city	,
country, state
phone, fax	,
e-mail
I plan to present a poster on the topic
I will pay by	credit card (Master or Visa) bank transfer cash The participation fee for early registration (till June 30th, 2007) is 250,- Euro (200,- Euro for students), for late registration and cash payers it is 300,- Euro (250,- Euro for students)
I would like to bring along an accompanying person (60,- Euro)
I would like attend the conference as a student