Electronic Registration Form

Course April 18, 2012

Your name and initials:
Academic title:
Courtesy title:	Mrs. Mr.
Institute:

Street:
Number:
Postal code/city:
Country:
Telephone:
Fax:
E-mail:
Knowledge of X-ray diffraction:	none basic advanced
I will bring my laptop (for tutorials):	yes no
Operating system of laptop:	Linux Windows

Subjects you would like to be covered and which are not on the list: