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Organization:

Department:

Address:

Postal code:     City:

Country:

Phone:     Fax:

E-mail:    

URL:            

I'll give a talk: yes    no

Title of talk:

Coauthors:

Abstract:

I'll attend the Welcome Reception:  yes     no

Number of accompanying persons attending the banquet: (NOK 800 per person)

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Expiration date:   -- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -- 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Total amount to be charged: NOK

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