University of Southern Denmark, Campusvej 55,
5230 Odense M
Participation fee
3900 DKK (Includes room and meals from July 4 at 18:00 until July 7 at 17:00, but not the optional excursion)
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Total amount:
3900 DKK
The cardholder hereby authorizes University of Southern
Denmark to draw the above amount on this account. The amount
is past due on May 2, 2004.
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Vegetarian?
Please fill out this form through your web
browser (for legibility), print this page, sign it, and fax it
before May 2 to OLA 2004, IMADA, SDU, +45 6593 2691.
We will acknowledge this typically the next working day.
If you do not receive an acknowledgment,
please contact us, since otherwise we cannot guarantee a room.
Also, please send a copy by mail to OLA 2004, IMADA, University of Southern Denmark,
Campusvej 55, DK-5230 Odense M, Denmark.
