Márton Erzsébet (szerk.): Múzeumi Hírlevél, 2003 (24. évfolyam, 1-12. szám)

2003-05-01 / 5. szám

(SC^TúZEUMI J^ÍRLEVÉLi©

■Sg___________________________________________________________________________________

Jelentkezési lap

XXI. Fa-, XVII. Fém és Textilrestaurátor továbbképzés. Szolnok, 2003. augusztus 26-28.

Név:...........................................................................................................................................................

Munkahely:..............................................................................................................................................

Levelezési cím: ..................................................................................................................................Tel:

Az előadás címe: ....................................................................................................................................

Időtartama:................. Szükséges technika: □ dia, □ írásvetítő, О videó, □ egyéb:

Dátum: ............................................................................

aláírás

International Summer School of Museology August 26 - September 9, 2003

Name and surname: Mr/Mrs .................................................................................................................

Date of birth: ..........................................................................................................................................

University degree (name of university, specialisation, academic title):........................................

Language proficiency: ...........................................................................................................................

Home address, phone number, e-mail: .............................................................................................

Work (address, specialisation, phone number, fax, e-mail):

Please, send correspondence to: О home address О work address

ICOM membership □ yes □ no

(In case you are an ICOM member, kindly bring your member card.)

I wish to participate at the UNESCO ISSOM 2003 and to be issued with all available information.

Language preference at ISSOM:- English (main language)- French (5 French speakers is the minimum number for the lectures to be translated)

The deadline for entry forms submission is June 10, 2003.

ISSOM account number: 85636621/0100, variable symbol: 2157001203. The bank address: Komercni banka Brno- mésto, nám. Svobody 21, 602 00 Brno.

Date: ............................................................................. Signature: ......................................................................

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