Programme / Workshop Questionnaire

1) Workshop Info

1. Workshop title
   
   
2. Description of the workshop
   
   
   
3. Workshop will take block(s) of 1,5 hours.

2) Contact Info

1. Name of group (as written on application form)
   
   
2. Name of contact person
   
   
3. Reference number
   (the one you recieved after you filled in the application form)
   
   
4. Contact person's e-mail address
   
   
5. Contact person's telephone number
   
   
6. Contact person's fax number

3) Workshop Times

Fill in your preferences. We will do our best to take these into account.

Legend

X = Definitly NOT (only when it is really impossible)
O = Preference
<empty> = possible

4) Requirements

For example beamer, video, pa etc.

5) Remarks

this form.

Alternative ways of sending this form:

• By snail mail to DSM - Majda Puaca, Post restant Beograd, 11000, Srbija i Crna Gora
• By e-mail to pga2004program@eurodusnie.nl