*Your contact E-mail address asdf@adsd.ru

*Family Name (Last Name) Brown

*First Name Alexander

Middle Name (Other Names dividing by space) Ivanovich John

*Gender Mr. Mr. Mrs.

*Country of work China

*City New York

Zip 119991

*Mailing and street addresses of work (street, building N, ZIP code, city, country, etc.) Kosygina St., 19

Phone +7-495-1374995

Fax +7-495-9397070

*Organization (Full Official Name) Vernadsky Institute of Geochemistry and Analythical Chemistry, Russian Academy of Science

*Organization (Short Name, abbreviation, for the badges) Vernadsky Institute

Do you need the Hotel Reservation (Sputnik Hotel only) Yes Yes No

*Do you need our Visa Assistance Yes Yes No

Preliminary Titles of your abstracts, in quotes dividing by semicolon "The history of Mars.";"The New Impactica."

Oral/Poster/PrintOnly Prefers Oral Oral Poster PrintOnly

Additional requests I want to request to get to the Moon after party

*Citizenship UK

*Date of birth 13 Dec. 1975

*Place of birth Obninsk, Moscow region, USSR

*Permanent Residence Ancoridge, Alaska, USA

*Passport Number 123154

*Passport Issued Date 13 Dec. 2005

*Passport Valid Until 13 Dec. 2009

*Position (post) at Institute Head of Planetary Department

*Part-time residence in Russia (Hotel name) Hotel Sputnik, Moscow

*The place (city and country) you will apply for a visa Helsinki, Finland

*The planning date of arrival to Russia 13 Dec. 2009

*The planning date of depature from Russia 24 Dec. 2009

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