HGM2006 - Expression of Interest Form

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Please complete the form on this page and submit it to the HUGO HGM2006 organisers to register your interest in HGM2006.

The information provided on this form will be used solely by HUGO to provide further information about HGM2006 or related topics to those submitting the information. The information will not be passed on to third parties.

Expression of Interest Form
^*Family Name:
^*Given Name:
^*Institution/Company:
^*Address:
^*Town/City:
Post/ZIP Code:
^*Country:
Tel:
Fax:
^*Email:

I am interested in:	attending as a delegate attending as a member of the press sponsoring some aspect of HGM2006 exhibiting at HGM2006 holding a Satellite Meeting
^*I learned of HGM2006:	by word of mouth by HUGO mailing at a previous HUGO event/meeting at another meeting - which one? by Press advertisement - which journal? by On-line advertisement - which site? Other - please state
Send to HUGO:
^*signifies mandatory fields

Created Sunday, 01-May-2005 20:15:35 BST
Updated Tuesday, 04-Oct-2005 16:03:17 BST