15th RIPE Meeting - Registration Form

[Anne Lord <Anne.Lord@localhost]

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If you are interested in participating in the 15th RIPE Meeting in
Amsterdam, would you kindly fill in the attached form and mail it to 
meeting@localhost as soon as possible.
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                        15th RIPE meeting
                   Registration reservation form
                      Amsterdam, April 27th-29th 1993

a)  Registration

( ) I would like take part in the RIPE meeting.

( ) I already have a RIPE badge from a previous meeting.

( ) I need a RIPE badge making up for me (please provide your details below). 
    These will be printed on your badge.

    Name:
    Organisation/affiliation:
    Country:


b) Personal details 

    Please give your name and contact details below:

    Name:
    Address:
    Address:
    Country:
    E-Mail Address:


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Please send this form to: meeting@localhost or +31 20 592 5090 fax

For further information please send mail to the above e-mail address.

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