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----- Please fill out, and e-mail to ivan.slapnicar@fesb.hr ---------

                          REGISTRATION FORM 
                               for the 

                 " International Workshop on Accurate 
                    Eigensolving and Applications"
                       
                         University of Split
             Faculty of Electrical Engineering, Mechanical 
                  Engineering and Naval Architecture
                    Split, Croatia, July 11-17, 1996   


    First name:

     Last name:

Middle initial:

   Affiliation:

      Position:

       Address:

        e-mail:

           URL:

  Arrival date:

  Arrival time:
 
Departure date:
(If the dates or the time are not known, please send the information 
 as soon as possible) 

I wish to make the following reservations (check the appropriate):
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Hotel:  single room   ___

        double room   ___   

             preferred partner:

Student dormitory:    ___

             preferred partner:
      
Breakfast in Student dormitory:  ___ 

                 Lunch at FESB:  ___

  Dinner in Student restaurant:  ___
 
Summer Festival Opening:  ___

              Excursion:  ___
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