Summer School on
		       NEW MAGNETICS
		   15-19 September, 2003	
		Bedlewo near Poznan, POLAND
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			THE ACCOMMODATION FORM
(Below, in the case of positive answer, replace the characters "___"
by "x")

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Name:
Institution:
Address:
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Please, book me 

a single room ___
a double room ___ for the period of:

___ 14/15 Sept., 2003
___ 15/16 Sept., 2003
___ 16/17 Sept., 2003
___ 17/18 Sept., 2003
___ 18/19 Sept., 2003
___ 19/20 Sept., 2003


(room shared with ...      ).

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