INTENTION FORM

PLEASE COMPLETE AND RETURN BY OCTOBER 31, 2007

 

 

 

Kindly FAX or E-mail to: Global Dimming, PO Box 29041, Tel Aviv 61290, Israel, Tel: +972 3 5175150, Fax: +972 3 5175155, global@targetconf.com

 

 

 

Family Name  ____________________________  First Name___________________________

 

Title: Prof Dr Mr Ms

 

Mailing Address ________________________________________________________________

 

________________________________________  Country ______________________________

 

Tel _____________________________________  Fax_________________________________

 

e-mail ________________________________________________________________________

 

 

 

Thank you for the invitation. I intend to participate in the Workshop, and plan to

 

arrive on _________________ (date) and depart on ___________________ (date).

 

 

 

 

 

 

 

 

Date: ________________________________ Signed ____________________________________