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AGMA2017 Registration form

Surname*:

Name*:

Middle name:

Sex 

Email*:

Institution*:

Address*:

City*:

Country*:

Zip code*:

Phone*:

Talk type 

Talk title (Please send the abstract of yout talk to the email geometry@imath.kiev.ua using this template)

Arrival date* (DD/MM/YYYY):

Departure date* (DD/MM/YYYY):

Remarks to the organizers: