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Given Name: ............................................................. Last name: ................................................................ Username (on the extranet): ....................................... 1st paper covered by this registration: ........................ (id of the paper on the extranet) 2nd paper covered by this registration: ........................(full registration only)
Please make sure that the net amount in EURO is wired. You should be paying for your bank's money transfer costs! Please wire these funds to:
Please fax on copy of this form to:
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Updated:
August 30, 2002
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