Yes, I want to be member of the EURO Working Group on Locational Analysis (EWGLA).

Personal data 
     name            . . . . . . . . . . . . . . . . . 
     surname         . . . . . . . . . . . . . . . . . 
     university/organisation . . . . . . . . . . . . .     
     faculty         . . . . . . . . . . . . . . . . . 
     department      . . . . . . . . . . . . . . . . . 
     address         . . . . . . . . . . . . . . . . . 
     zipcode         . . . . . . . . . . . . . . . . . 
     city            . . . . . . . . . . . . . . . . . 
     country         . . . . . . . . . . . . . . . . . 
     office phone    . . . . . . . . . . . . . . . . . 
     private phone (optional). . . . . . . . . . . . . 
     office fax      . . . . . . . . . . . . . . . . . 
     private fax (optional). . . . . . . . . . . . . .
     e-mail          . . . . . . . . . . . . . . . . . 


Do you want to joint the EWGLA-listserver? (encircle the appropriate item)
       Yes
       No


Which of the following data do you accept to be publicly available in the EWGLA World Wide Web
pages http://www.vub.ac.be/EWGLA/homepage.htm)? (encircle the appropriate items)
       name + surname
       organisation/organisation, faculty, department
       address
       office phone number(s)
       office fax number(s)                                 
       private phone number(s)
       private fax number(-s)
       e-mail
       personal page (if available): http://. . . . . . . 



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