The Clute Institute European Academic Conference
June 6 - 8, 2012 in Rome, Italy and/or June 10 - 17, 2012 Mediterranean Conference Cruise

Registration Form

For All Attendees

Conference:  Rome only     Conference Cruise only    Both Rome and Conference Cruise

Registrant Type:  Presenter     Attending Only

First Name (given)  
Last Name (surname)  
Institution
Department
Institution address
City
State/Province
Zip/Postal Code
Country
Email
Phone

For Presenting Attendees

Conference Track:   Business & Economics    Education    Energy Policy    Engineering Education    Health Sciences

Session Type:   Regular    Poster    Panel    Workshop    E-session

Reference # or Presentation Title  

Co-Authors  

I will be available to present on (please check all that apply):

Wednesday AM - June 6
Wednesday PM - June 6
Thursday AM - June 7
Thursday PM - June 7
Friday AM - June 8
Friday PM - June 8
Cruise - Presentation Day 1
Cruise - Presentation Day 2

*** Please note: The Clute Institute will make every effort to accomodate - but cannot guarantee - your preferred presentation dates and times ***

I am willing to serve as a Session Chair:  Yes     No

The following should appear in the proceedings:   Full Paper     Abstract Only     Attending Only     Nothing

Please review my paper for possible Journal publication:  Yes     No

 

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Keep in touch!

The Clute Institute
6901 South Pierce Street
Suite 239
Littleton Colorado 80128 USA
e-mail: Staff@CluteInstitute.com
phone: 1-303-904-4750
fax: 1-720-259-2420