1st international LOEWE Conference 7th to 9 th December 2016

1st international LOEWE Conference
7th to 9 th December 2016
Date:
Registration and
Reimbursement of travel expenses
Please complete and return this form to:
Institut für Archäologische Wissenschaften,
LOEWE-Schwerpunkt „Prähistorische
Konfliktforschung“,
Norbert-Wollheim-Platz 1, (Fach 10)
60629 Frankfurt/Main (Germany)
Phone: +49 69 798 32122
Fax: +49 69 798 32121
Email: [email protected]
Contact details
Mr
Ms
Mrs
Miss
Dr
Last name
Private contact
Prof
Other (please specify)
First name
Street
Suburb/Town
State
Travel
Travel by
Country
Postcode
Car
Train
Flight (economy)
Public transport
Participant , who travels by car
I need a parking
Yes
Registration number of your car
No
Participant Dietary requirements
Vegetarian
Vegan
Registration to the dinner on 07.12.2016
Registration to the dinner on 08.12.2016
Yes
Yes
No
No
due 26 €
due 20 €
Hotel/Booking details
Single room
Arrival date
2016
Arrival time
Departure date
2016
Departure time
AM /
PM
AM /
PM
Signature:__________________________________

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