Registration for PSSL 99 (Jirkafest) in Braunschweig, 2016/03/11-13

Registration for PSSL 99 (Jirkafest) in Braunschweig,
2016/03/11-13



Name 
Affiliation 
E-Mail 
Fax (optional) 
Arrival 
I plan to meet for an informal dinner on Friday  No Yes
I plan to attend the official dinner on Saturday  No Yes     (for the price of 50 Euros)
accompanied by n guests  n=0 n=1 n=2     (for further 50n Euros) 
(plus conference fee of 20 Euros)
(payable to LMCS e.V., at DKB Bank, IBAN: DE83 1203 0000 1020 2427 96, BIC: BYLADEM1001, Subject: PSSL99)
special dietary requirements 
further remarks 
I wish to present a 25 min talk  No Yes
Title 
Slots for talks will be awarded on a first-come first-serve basis