Katarzyna Mycka - marimbasolo.com

IKMMA 2009 in Frankfurt/Main - REGISTRATION

Data

Title

Date of birth*

Name*

Phone

First name*

Telefax

Address*

e-Mail*

ZIP / City*

Profession

Country

Nationality

Participant as*

Accomodation service

I apply as a passive participant.
(Fee: 150,00 Euro)

	I'd like to make use of the accomodation service, please send me more information about it.

Method of payment*

I pay via bank transfer

* required