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\noindent \textbf{REGISTRATION FORM} \newline \newline

\noindent The 2nd Context, Cognition and Communication Conference \\
Warsaw, June 16-19, 2018 \newline \newline

{\footnotesize
First (and middle) name: 
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Family name: 
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Affiliation:
\newline \newline \newline 


Title (Prof., Dr., MPhil., MA, BA, Student): 
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Address: 
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E-mail:
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Telephone:
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Date of arrival:
\newline \newline 

Date of departure: 
\newline \newline

Type of submission [choose one option below]: \newline \newline


[1] Regular presentation only [  ]\newline 

[2] Poster session only [  ]\newline 

[3] Regular presentation or poster session (preference: regular presentation). [  ] \newline 

[4] Regular presentation or poster session (preference: poster session). [  ] \newline \newline

I plan to participate in the post-conference workshop:\newline \newline

YES [  ] \newline 

NO [  ]


}

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