Registration Form

Title
First name
Surname
Email
Address


City
Country
Zip/Postal code
Phone
Fax
Title of presentation
Preferred type of presentation*
*The final decision concerning the presentation will be made by the Scientific Committee by June 15, 2012.
Accompanying persons
First name		Surname
First name		Surname
First name		Surname

Registration fees

	regular	reduced*

Active Participant	600 EUR	400 EUR
Accompanying Person	300 EUR
*reduced fee for members of the Polish Chemical Society

Errors & problems: isshac (at) isshac.org