18th - 22nd March 2019
 
First name*
Surname*
Gender*
female
male
Home institution, city, country*
Department at your institution*
Position*
Email address*
Mobile phone number (in case of organizational changes, optional)
Planned date of arrival*
Planned date of departure*
Do you wish to book a room at Hotel Garni?*
no
yes

More information on the website http://www.hotelvsb.cz/.

Special dietary restrictions and requirements (e.g. vegan, vegetarian, allergy)*
no
yes
Please rewrite text from picture*

All fields marked with an asterisk (*) are mandatory.