Registration Form (visa information) for SYNCHRO-2002

1. First Name               
2. Last Name                
3. Country                  
4. City                     
5. Private mailing address  
6. Passport Number          
7. Date of issue            
8. Date of expiry           
9. Date of birth            
10. Place of birth          
11. The date of your arrival in Russia 
12. The date of your departure from Russia 

Please, fill out all fields before pressing the registration button
Your data will be sent to Workshop Manager (Dr. Galya Strelkova)