MWWD 2010 REGISTRATION & PAPER PROPOSAL FORM

MWWD 2010 REGISTRATION & PAPER PROPOSAL FORM

FOREWORD
The present registration & paper proposal form shall be submitted within the dates indicated in the “Call for papers” in order to enable the Organization to evaluate the proposals and confirm their acceptance.

The colleagues interested only in the participation may send their registration any time before the conference but the sooner the better.

MWWD 2010 – CONFERENCE REGISTRATION - PERSONAL INFORMATION

First Name

| Initials

| Surname

Nationality (optional)
Professional Title
Professional Position
University/Organization/Company

Address

business

home

Phone

Operator

Direct

| Extension

Fax

| Mobile

E-mail (Filling Compulsory)

Please repeat your e-mail address to receive a copy of your pre-registration form

(Filling Compulsory)

I am a member of:

IWA

IAHR

|Other (indicate)

PARTICIPATION AND PAPER INFORMATION

I intend to participate to MWWD 2010 as follows:

By presenting a paper/s with the following title/s

Title 1
Title 2

With a Virtual Paper (paper presented without the Author’s participation)
with the title

Title

With a contribution to the Monday’s round table/s or with the proposal of
workshops or of project’s presentations on the subject:

Subject and title:

With an intervention in the Opening Ceremony or in the Keynote session

Subject and title:

I intend to pay the fee of euro

within

My organization is interested in giving patronage and support to the
conference as indicated at the relevant page. I will send separately the
confirmation and the logo as image. Organization data are in the box.

Organization Data:

I am interested in IEMES 2010 – 4th International Exhibition on Materials,
Equipment and Services for Coastal Environmental Projects with the
following “product” and paper. I will fill in due time the IEMES Registration
Form.

- “Product”
- Paper title

I am planning to have a stand of

I am just interested in participating, pls. keep me informed.

Comments and/or
suggestions: