CME 2010 - Children's Mathematical Education

Surname:
First name:
Titles:
Male/Female:	Male Female
University/Institution address:
Contact address:
Country:
E-mail:

I wish present a paper:
Paper title:

I wish present a poster:
Poster title:

I wish present Workshop:
Workshop title:

I will take part in the Working Seminar for level:	3-6 7-9 10-12 13-16
I will take part with accompanying person:	Number of person
Any special requirements for technical support:
I am ready to share my room with (put a name):

ACCOMODATION in the Wisla-Margot Hotel:
	Accomodation in Wisla-Margot (double room)
	Accomodation in Wisla-Margot (single occupancy of double room additional payment 100 €)

Accomodation in Glorietta Hotel + breakfast:
	Double room / per person
	Single occupancy of double room
	Single room

Accomodation in Glorietta Hotel + breakfast + dinner:
	Double room / per person
	Single occupancy of double room
	Single room

Registration fee:	€
Accomodation cost:	€
Registration fee for accompanying persons:	€
Accomodation for accompanying persons:	€
Donation:	€
Total payment:	€