BaNoCoSS-2011 Registration form

Third Baltic-Nordic Conference on Survey Statistics

13-17 June 2011 in Norrfällsviken, Sweden

DELEGATE

Family name

First name

Title

Organisation/Institution/Company

Mailing address

Postal code, town and country

Phone

E-mail address

	Orally	By poster
I wish to present a contributed paper

Title of the paper

Arrival date (dd.mm.yyyy)

Departure date (dd.mm.yyyy)

Lodging

Please tick the appropriate box	SEK 700/day for full board and lodging in hostel building SEK 850/day for full board and lodging in cottage or conference building

Welcome Reception

Excursion

Conference Dinner

Special needs (diet, allergy, vegetarian food etc.)

Accompanying persons: Name (with age on children)

I wish to save the form and continue later by using the link that will be sent into the email address I gave

Email address