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registration form

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                       17th RCRA International Workshop on
 
                     "Experimental Evaluation of Algorithms
               for Solving Problems with Combinatorial Explosion"
 
                        Bologna, Italy, June 10-11, 2010
 
                             -----===| + |===-----
                             
                               REGISTRATION FORM
                               
Please fill in the blanks and send the form by e-mail to 
Stefano Bragaglia (organization.rcra.aixia.10@gmail.com) BEFORE JUNE 3, 2010.
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--[ Participant’s Data ]--------------------------------------------------------
Name ___________________________________________________________________________
Surname ________________________________________________________________________
Institution ____________________________________________________________________
Mailing address ________________________________________________________________
________________________________________________________________________________
Zip code ____________ City ______________________ Country ______________________
E-mail _________________________________________________________________________
Phone/Fax ______________________________________________________________________
 
 
--[ Social Dinner ]-------------------------------------------------------------
The dinner will be held on JUNE 10 2010, whose cost is at your own expense (ap-
proximately 30€).
 
Would you like to attend the social dinner?
[ ] No, thanks
[ ] Yes, please take into account the following dietary restrictions (vegetari-
    an, allergies, etc.), if any: ______________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    _____________________________________ (additional accompanying persons: ___)

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