REGISTRATION FORM 

VLIZ Young Scientist Day 2007
Friday 2nd March 2007 – Provinciehuis Boeverbos, Koning Leopold III-laan 41, 
B-8200 St-Andries Brugge

Name:	Firstname:

Function: 

Institution:

Address:

Tel.:                                         Fax:                                    E-mail : 

		 will attend the VLIZ Young Scientist Day 2007

		 will take lunch	   		 I am a vegetarian
	
 will participate to the photo competition

		 will present poster	 a demonstration  

 equipment needed:

entitled: 

authors:

 enclosed you’ll find my English abstract (max. 1 page, please use template) 

Signature:					Date:

To be sent before 3th of February 2007 to: 
Flanders Marine Institute (VLIZ)
 Wandelaarkaai 7, B-8400 Oostende 
E-mail: info@vliz.be / Fax: +32-(0)59-34 21 31