13th International Congress
Flavins & Flavoproteins
Konstanz, Germany
VIII. 29. — IX. 4 1999	

APPLICATION FORM
Request for support by young participants
(Please return as early as possible)

We will provide support for young participants. Younger scientists should send us this application form together with the registration.
	This application also should be accompanied by a letter of recommendation by a supervisor or head of department.
	Participants from specific countries should first contact the indicated persons for support: (USA: Al Claiborne; Japan: Takeshi Nishino; Italy: Mirella Pilone; Lettland and Eastern Countries: Narimantas Cenas)

Participants requesting a letter of invitation from the organizing committee should write us.
Important: we request everybody to register and to pay the fees in full before the deadline! We will provide a refund to those entitled at the time of the congress.
A limited number of cheaper accommodations (e.g. youth hostel) will be available. Reservations will be handled by the organizers in collaboration with the Konstanz Tourist Information Office (details on our website).
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Title:	. . . . . . . . . 
Name (First / last):	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Affiliation:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mailing Address:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Phone:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fax:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-mail:	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Letter of recommendation (name of head or superviser):  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
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 I am planning to contribute a poster presentation
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I apply for support concerning:
Accommodation   Travel costs   Registration fees   Proceedings book

I get support from other source (specify): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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
Date: . . . . . . . . . . . . . . . . . . . . . . . . .   Signature:  . . . . . . . . . . . . . . . . . . . . . . . . .
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Mail/	Dr. Sandro Ghisla	Tel.: +49-7531-88-2291
return	Universität Konstanz 	Fax: +49-7531-88-4161 (or -2966)
to:	Fak. Biologie M644	E-mail: 
	D-78457 Konstanz, Germany	Flavin.Congress@uni-konstanz.de