Name:                          

Initials:                             Title:

Company/Organisation:

Department:                 

Postal Address:             City:

Zip/Postcode:                 Country:

Fax:                                 Telephone:

E-mail address:               

Wishes to participate in the i-PolyMat 2010 

I am interested in presenting a: poster or contributed lecture ,

with the title:

I will send a one page abstract before, February 15, 2010.

Registration fee € 395 (payment before 01-01-2010)     

Registration fee € 450 (payment after 01-01-2010) 

Accompanying non scientific participant ( fee € 200)  name: