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NANO2006 - Workshop on
"Perspectives in Nanoscience and Nanotechnology"

San Sebastián, September 4-6, 2006

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REGISTRATION FORM

Please, fill up this form to register in the Workshop.



Name: 


Affiliation: 


Email Address:
Postal Address:   
 


         Zip:       


   City: 


  Country: 


 Do you intend to present your work?

No
        Yes (oral)
          Yes (poster)

If you have answered Yes, and your oral or poster has been accepted, please provide
the title of your contribution.

Title:

Additional comments or requests:
(Please state your student status for registration waiver)