Faculty of Science

XIV^th Conference
on Heterocycles
in Bio-organic Chemistry

September 4 – 8, 2011

Registration form

PARTICIPANT

Family Name (Surname)
First Name (Given name)
Title
Sex	F M
Affiliation
Country
Street
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Number of accompanying persons	* 8 500 CZK (€ 0)
Presentation:	Oral Poster None

REGISTRATION FEES

Participant		15 000 CZK (€ 0)
Student		12 500 CZK (€ 0)

Payment method: Bank transfer Credit card

bioheterocycles@chemi.muni.cz