PARTICIPATION FORM

FLANDERS MARINE INSTITUTE: Annual VLIZ North Sea Award 20045

Please return this form with the accompanying documents prior to 14 November 2005 to: 

Prof. Dr Patric Jacobs, President Scientific Committee
c/o Dr Jan Mees, Director
Flanders Marine Institute (VLIZ) 
Wandelaarkaai 7, B-8400 Oostende, Belgium
Fax: +32-[0]59/34 21 31          E-mail: info@vliz.be

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