Form personal data



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Data09.05.2016
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International Conference

The World towards ‘Solidarity’ Movement 1980–1989

Wrocław, October, 21–23th, 2010

Registration FORM



1. Personal data

First name:

Surname:

Academic title:

Institutional affiliation:

Mailing address:

Tel: .............................................................. Fax:

E-mail:
2. Conference participation

I would like to attend the conference The World towards ‘Solidarity’ Movement 1980–1989 taking place in Wrocław on 21–23 October 2010.

Without a paper

 With a paper (title)

I submit my paper for the session:


 1. Western Europe

 2. Eastern bloc

 3. USA and Canada

 4. Latin America

 5. Asia, Australia and Africa

Please enclose a short abstract of your paper (max. 500 words).




3. Additional information

Accompanying persons:

Other:
Signature: Date:

Please send this form to:


anna.piekarska@ipn.gov.pl
lub
Anna Piekarska

Instytut Pamięci Narodowej

Biuro Edukacji Publicznej

ul. Towarowa 28

00-839 Warszawa, Poland

Konferencja 2010”


fax. 0-22.431.83.80
For additional information please contact:

Anna Piekarska – anna.piekarska@ipn.gov.pl


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