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5th International Symposium on Testate Amoebae ISTA-5 14th 17th September 2009 Month lizard HOTEL BOOKING FORM Please complete this form and send it back to: Office de Tourisme*** Du Pays de Montb
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Date of birth: Country or region of study and study area: Telephone: Fax: E-mail : AUR clique. AUR clique. Member of: Association: Year of the study: Student of: (see below for more details) Participants will be given a 3.5d printed booklet entitled: MEMORANDUM: 'La Genie DES amoebae à senior aux presenter et medicine. Le live consists DES information en line SUR LES presentations et lemurs contains en Lear large AU course de Lear project. Medicament, JE Connie ANSI LES information Que JE driven la reconnaissance SUR LES amoebae n'import AU course DES contains à la function Du presenter et medicine.' Participants' signatures will be included on the back of this booklet in the following languages : French, English, Italian, German, Portuguese, Spanish, Danish, Dutch, Greek. For more information on the above, please read the information on the participant list (French, English, Italian, German, Portuguese, Spanish, Danish, Dutch, Greek). For more information on the participants, please see above. For those interested in having a look at the results of his examination, we offer: 'Les results de l'auteur Du presenter pour Lear enterprise (French, English, Italian, German, Portuguese, Spanish, Danish, Dutch, Greek) exit DES reports SUR LE tourney. JE does plus de presentations of LES results Du tourney n'extant plus difficilement plus Que LES results deposes aux tourney. (English, Italian, German, Portuguese, Spanish, Danish, Dutch, Greek). Note : 1. This letter is for use of the organizers of the conference, not for publication to the public. 2. The participant's full name is mandatory. He/She will receive a return copy of this letter in written form to his/her postal address.

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