Name.....................................................................Family
name..................................................
Institute/Company........................................................................................................................
..........................................................................................................................................................
Department/Faculty
....................................................................................................................
Organisation
Type
Field
of interest in GIS ...............................................................................................................
..........................................................................................................................................................
Street
and number:.......................................................................................................................
..........................................................................................................................................................
Postcode
and city: .......................................................................................................................
Country:.........................................................................................................................................
Tel. ........................................................................Fax..................................................................
E-mail.............................................................................................................................................
URL.................................................................................................................................................