PARTICIPATION FORM

To be returned, either by ordinary mail or by email, to

Christian Krattenthaler
Institut Girard Desargues
Universit\'e Claude Bernard Lyon-I
B\^atiment Braconnier
21, avenue Claude Bernard
F-69622 Villeurbanne Cedex
FRANCE 

fax: +33 (0)4 72 43 16 87 


NAME:

ADDRESS:



Email:

fax:

will participate in the 53rd Seminaire Lotharingien de Combinatoire

Arrival in Haus Sch\"onenberg (day and time):

Departure from Haus Sch\"onenberg (day and time):

Transportation:

Do you wish to give a lecture?

On which subject?



ROOM RESERVATION:

Number of persons (you included):

Double occupancy (indicate the name of a person with whom you
are willing to share the room):

Single occupancy:



------- End of document ------------