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24th Summer Conference on Topology and Its Applications banner

Accommodation Registration Form

Personal information

Family name:
First name:
Title:
Institution:
Address:
City:
ZIP code:
Country:
Phone/fax:
Email:

Registration Fee

  before May 31, 2009 after May 31, 2009
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CHECKED
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onclick="calculate()"> 		 € 170  (4 760 CZK) € 190  (5 320 CZK)

Accommpanying persons

First person:
Second person:
Third person:

Accommodation

Best Western Premier Hotel International Brno****
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onclick="calculate()" onchange="calculate()"> 		2 900 CZK (€ 104)/night
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onclick="calculate()" onchange="calculate()"> 		3 200 CZK (€ 114)/night
Hotel Continental***
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onclick="calculate()" onchange="calculate()"> 		1 400 CZK (€ 50)/night
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onclick="calculate()" onchange="calculate()"> 		1 800 CZK (€ 64)/night
 
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onclick="calculate()" onchange="calculate()">
Arrival: Departure:


I want to share a room with: Notice: Undefined variable: Disabled in /var/www/html/unix/y/q/ta-servicecz.noveranet.cz/www/2009sumtopo/reg-form.php on line 264
size="50">

Payment method

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CHECKED
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Total to be paid: 0 CZK 0 EUR