Registration for the SSRMP Annual Scientific Meeting 2010

Last name:	*
First name:	*
Institution:	*
Location:	*
Email address:	*

---

Participation at the meeting (free of charge)

I will participate November 11th:	yes no
I will participate November 12th:	yes no

Conference dinner (CHF 60.-/person)

I will attend at the conference dinner:	yes	number of persons (including me)
	no