Title (Dr, Prof, Mr, Mrs, Ms, ...): .............................................................................................
First Name: ...............................................................................................................................
Last Name: ................................................................................................................................
Department: ...............................................................................................................................
Institution: ..............................................................................................................................
Address: ..................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
Phone: ............................................. Fax: ................................................................................
E-mail: ...................................................................................................................................
I will present a contribution: Yes ___ Non ___
Title: .............................................................................................................
..................................................................................................................................
Send this form by mail, fax or E-mail to:
Symposium Palma 97
Mail: Centro Meteorolgico de Baleares
Muelle de Poniente s/n (Portopì)
E-07071 Palma de Mallorca, Spain
Fax: +34-71-404626
E-mail: jansa@inm.es or genoves@inm.es