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	             The XII-th International Conference
                "Differential Geometry and Dynamical Systems"
             	                (DGDS-2018)
         	 30 August - 2 September 2018, Mangalia, Romania

				Registration Form

	         to be sent before August 25, 2018 by email to: 
				vladimir.balan@upb.ro


 1.
 Name and Surname:
 Male/Female:
 Affiliation:
 E-mail address:
 
 2.
 I have booked rooms in the following Hotel 
            (if applicable, please specify):
 Arrival/departure data:

 3.
 I will present a contribution:              Y/N
 Type: lecture 25'/communication 15'/poster: L/C/P
 Media: PC/Overhead projector/blackboard:    P/O/B

 5.	Final title:
  	Authors:
  	Abstract/short abstract 
	(this will be included in the DGDS booklet):

 5.

 I'll order the Volume of papers:                      Y/N
 I'll attend the Welcome party (Sept. 1-st):           Y/N

 6.
 Comments, special requests:
 Date:

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Note. In case that title/abstract and arrival/departure data were
      already sent to the organizers, registration is NOT required.
      The registration fee will be payed upon arrival at the registration desk.
      Please check all the details on the DGDS-2016 webpage: www.mathem.pub.ro
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