11th Conference on Greek Philosophy: Form 1

INTERNATIONAL ASSOCIATION FOR GREEK PHILOSOPHY
5, SIMONIDOU STR., 174 56 ALIMOS-GREECE
TEL : 99 23 281, FAX : 72 48 979, E-MAIL: [email protected]

ELEVENTH INTERNATIONAL CONFERENCE ON GREEK PHILOSOPHY

PARTICIPATION FORM No 1

(To be submitted by December 1998)

FIRST NAME :
SURNAME (Mr, Mrs, Ms) :
TITLE (Prof., Dr, M. Phil., M.A.) :
POSITION OR OCCUPATION :

INSTITUTION (TEACHING OR RESEARCH) :
ADDRESS:
WORK:

HOME:

TELEPHONE:
WORK:
        FAX:
HOME:
        FAX:
E. MAIL:
HOME:

WORK:


I WISH TO TAKE PART IN THE CONFERENCE:

a. AS A SPEAKER - TITLE OF PAPER :

b. AS AN ACCOMPANYING PERSON
c. AS A PERSON ATTENDING THE CONFERENCE



DATE :
SIGNATURE :