INTERNATIONAL CONFERENCE CLEANER PRODUCTION AS A CONTRIBUTION TO SUSTAINABLE DEVELOPMENT (Moscow, December 6-9, 2004)

ON MAIN ENGLISH PAGE	SOURCE PAGE

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APPLICATION FORM

1

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Mr.			Ms.

Surname

Name

Middle name

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Position
Organization

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Country

Region

City

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Postcode and address

Phone (including country code)		Fax (including country code)
E-mail		Website

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Participation as

Speaker Co-speaker Listener By Post

Title of the Report

I am planning to take part in the Working Group Meeting	WGM 1. Economic, legal and regulatory documents WGM 2. Experience of CP dissemination and EMS in companies WGM 3. Regional peculiarities of development of Cleaner Production

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Needs in support equipment
To show multimedia slides:

At the Plenary session

At the Working Group Meeting

Overheads:

At the Working Group Meeting

Interested in presenting poster information next to the Plenary meeting room

0,98 х 0,68 - 15 USD

1,46 х 1,18 - 20 USD

2

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I would like to reserve a room at the Hotels of the Russian Academy of State Service (RA of SS)

Room Type	For citizens of Russia and Republic of Belarus				For participants from other countries
	Hotel 1		Hotel 2		Hotel 1		Hotel 2
Single	21,00		27,00		32,00		48,00
Double (Per person)	13,00		16,00		17,00		28,00
Single with better comfort	21,00 (bc)		29,00		35,00		58,00

Reservation – 25% of the room cost (per person) daily Payments for hotel accommodation should be made in cash The above prices are given in euro per day, settlements will be made at the Central Bank exchange rate in rubles If all rooms in the above hotels are booked, we will offer similar accommodation in another hotel nearby and contact you on this matter

The date of arrival

The date of departure

3

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All participants are invited to:
	Welcome cocktail on 6 December 2004 at 19.00 to take place in the lobby of training building № 1. You will have an opportunity to meet participants of the conference and get registered. Those who do not attend the buffet party will get registration next morning on 7.12.04 – see the agenda

I agree

	Banquet on 7 December 2004 at19.00 in the restaurant «South-West» located in the training building № 2 of RA of SS

I agree

	Take part in the social program on 09.12.2004 г.

I agree

The Welcome cocktail and Banquet will be covered by the conference organizers

The social program paids by the participant

Please, inform us about your participation in the Welcome cocktail, Banquet and Social program by putting a tick in the box

4

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I am informed of the conditions of participation in the Conference, specifically - each participant is to pay the registration fee of 300 USD covering: Information hand-outs Dissemination of final documents after the conference is finished 5 coffee breaks and 3 lunches

I agree with the conditions of participation in the Conference

Please, submit the completed Conference application form and abstracts before 30 September 2004
After you submit the application form we will send you data about the account of our organization to which the registration fee is to be transferred

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To the Conference Organizing Committee:
Address: Russia, Moscow 129329, Kolskaya street, d.2, k. 6, office 1603
Phone/Fax: (095) 787 42 70
E-mail: lubav@deol.ru   edcentcp@deol.ru   centrecp@deol.ru