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Registration to the 76th UBC Executive Board meeting, Kaunas, 6-8 June 2016
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Mr/Ms/Mrs
Name
Surname
Position
City
Address
Phone/GSM
E-mail
Arrival date/time
MM
/
DD
/
YYYY
Time
:
Arrival place
Means of transport
Airline and flight no
Departure date/time
MM
/
DD
/
YYYY
Time
:
Departure place
Means of transport
Airline and flight no
Please mark the activities you would like to attend
Diet restrictions and other remarks
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