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6thnd Workshop on "Current trends in Molecular and Nanoscale Magnetism" October 9-13 , 2016 Pylos, Greece CONFIRMATION OF PARTICIPATION Please fill in (x) and return this form to: [email protected] , [email protected] Official site of the workshop : http://inn.demokritos.gr/Conferences/CTNMM16/home.html Family Name: First name(s): Title: Prof. ( ) Dr. ( ) Mr. ( ) Ms. ( ) Address: City: ....................................................................... Zip code: .…….......................... Country: ................................…………………………………………………………… Tel.: ............................................................. Fax: …………………………………….. E-mail: ..........…………………………………………………………………………… Tentative title of lecture: Hotel: Karalis http://hotelkaralis.gr/ Prices for the rooms Single: Double: Triple: Family Room (two 65,00€ ΒΒ 70,00€ ΒΒ 85,00€ ΒΒ double rooms which communicate through a common door) 110,00€ ΒΒ Type of room requested: Single ( ) Double ( ) Triple ( ) Date of arrival: Date of departure: If you wish to share a room with another participant(s) please specify: Accompanying persons (non-participants): Yes (indicate number) Other information: No ( )