PARTICIPATION FORM

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

Mireille Bousquet-M\'elou
CNRS, LaBRI, Universit\'e Bordeaux 1
351 cours de la Lib\'eration
F-33405 Talence Cedex
FRANCE

fax: +33 (0)5 40 00 66 69



NAME:

ADDRESS:



Email:

fax:

will participate in the 54th Seminaire Lotharingien de Combinatoire

Arrival at the Maison St. Bernard (day and time):

Departure from the Maison St. Bernard (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:



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