KLAIPĖDA UNIVERSITY

THE FACULTY OF HUMANITIES AND EDUCATION

UNIVERSITY OF PARMA

DEPARTMENT OF HUMANITIES, SOCIAL SCIENCES

AND CULTURAL INDUSTRIES

EVANGELICAL LUTHERAN CHURCH IN LITHUANIA

SIMON-DACH-HAUS

The 4^th International Interdisciplinary Scientific Conference

The Interaction of Tradition and Modernity

Commemorating the 500^th Anniversary of Reformation

Klaipėda University

November 16-17, 2017

Registration Form

Name, surname .....................................................................................................................

Academic degree and title.....................................................................................................

Workplace, position ..............................................................................................................

Address, telephone, fax, e-mail..............................................................................................

Title of the presentation ........................................................................................................

Presentation abstract (up to 1,500 characters)

The status of a participant (real/virtual[1])..............................................................................

Equipment necessary for the presentation: ..........................................................................

Accomodation (please tick):

In a hotel (participants book hotel rooms, and cover travel and hotel expences themselves)

Not necessary

Preferred type of food (usual, vegetarian, vegan) .................................................................

Comments................................................................................................................................

Please e-mail the filled in form before October 15, 2017, at tmskonferencija2017@gmail.com. We will inform you about including your presentation in the conference programme before November 01, 2017.