REGISTRATION FORM

PLEASE USE BLACK PEN AND BLOCK LETTERS

Yes, I will attend the BALLERINA First Annual Conference.

No, I will not be able to attend the Conference, but I would like to be put on your mailing list for further information about the BALLERINA initiative.

Name:.........................................................................................................................................

Organisation:.................................................................................................................................

Address:...........................................................................................................................................

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Telephone:................................................Telefax:..........................................................................

E-mail:.......................................................................................................................................

Place of birth*:.............................................................Date of birth*:.........................................

Private address*:...........................................................................................................................

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* Required for Belarussian, Russian and Ukrainian citizens. Due to considerable bureaucracy involved please register asap!!

To be able to attend the Conference, I will need financial assistance to cover travel and living expenses. Valid for applicants from BL, EE, LT, PL, RU and UE only.

If time allows, I would like to make a short oral presentation (15 min) of my organisation's Internet project, which is of relevance to the objectives of BALLERINA. (Those accepted will be notified).

Title of presentation:......................................................................................................................

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I would like to make a poster presentation of my organisation's web project, which is of relevance to the objective of BALLERINA. (All will be accepted.)

Title of presentation:.......................................................................................

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Registration forms should be faxed (or e-mailed) by May 2 to:

BALLERINA/Riga 1997,

c/o Stockholm Marine Research Centre

Fax: +46-8-15 79 56

E-mail: langaas@grida.no (or sindre@system.ecology.su.se)