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Eurocomb 2017
European Conference on Combinatorics, Graph Theory and Applications
Vienna, August 28 - September 1, 2017
Payment Authorization
Name: _____________________________________________________________________
email: _____________________________________________________________________
Institution (name/address): ____________________________________________________
Credit card holder (if different): _________________________________________________
Credit card holder´s (private) address: ______________________________________________
Credit card company: Visa/Mastercard/AMEX
Credit card number: __________________________________________________________
Expiration date (month/year): ___________________
CVC: _______________________
For the participation in the „European Conference on Combinatorics, Graph
Theory and Applications“ (Eurocomb 2017), please charge the amount of
____________€ against my credit card.
Date: ________________________
Signature: ________________________________________
Please forward your authorization
per email or fax to:
Sonja Rees, Institute of Discrete Mathematics and Geometry
Vienna University of Technology
[email protected], fax +43-1-58801-10499