MACSI-net WG 13 "Electromagnetics in Telecommunication"
Registration form for the Industry Day on June 25, 2002 in Eindhoven.



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Title:

Prof.
Dr.
Mr.
Ms.

Full name:

Working for

Name of
institute/industry:

Academic Institution Industry

Mailing Address:

Zip Code:

City:

Country:

E-mail Address:

Tel:

Fax:

Remarks/Suggestions:



This information will be sent to MACSI-net and to the moderator of MACSI-net Working Group 13 at jan.ter.maten@philips.com.