REGISTRATION FORM

1.	First name:
 	
2.	Surname:
 	
3.	Salutation: Mr/Ms
	
4.	Affiliation:
 	
5.	Address:
 	
6.	E-mail:
 	
7.	Telephone:
 	
8.	Payment date:
 	
9.	Payment amount:
 	
10.	List of papers related to this registration (if applicable):
 	
	10.1. Paper 1
		ID:
		Title:
		Extra Page: Yes/No (remember to cover the extra page fee (10 euro))

	10.2. Paper 2 (remember to cover the additional paper fee (50 euro))
		ID:
		Title:
		Extra Page: Yes/No (remember to cover the extra page fee (10 euro))

	10.3. Paper 3 (remember to cover fee for two additional papers (100 euro))
		ID:
		Title:
		Extra Page: Yes/No (remember to cover the extra page fee (10 euro))

11.	Is your paper eligible for "The best student paper" contest? Yes/No
 	
12.	Have you submited materials for LREMAP? Yes/No
 	
13.	Accompanying person(s):
 	
14.	Do you intend to participate in the banquet (November 26)? Yes, with accompanying person/Yes/No

15.	Information necessary to issue the invoice:
 	
16.	Remarks/Additional information:
 	
17.	Are you a student? Yes/No