REQUEST FOR AN INVITATION LETTER
FOR VISA APPLICATION

The 10th International Conference of the European Chitin Society
May 20-24, 2011
Saint-Petersburg, Russia

LAST NAME:    (as appears in your passport) ___________________________________________________________

firs NAME:  (as appears in your passport)   ___________________________________________________________

CITIZENSHIP: ________________________________________________

COUNTRY OF RESIDENCE (full mailing address, phone/fax with area code): ___________________________________________________________

DATE OF BIRTH :______________________________________________

Place OF BIRTH :  ___________________________________________________________

PASSPORT NUMBER: ___________________________________________

DATE OF ISSUE: ______________________________________________

DATE OF EXPIRY:______________________________________________

ISSUED BY:__________________________________________________

DATE OF ARRIVAL:____________________________________________

DATE OF DEPARTURE:__________________________________________

I will apply for a VISA at Russian Embassy/Consulate located in (City, Country, a fax of the Embassy/Consulate)

__________________________________________________________________

___________________________________________________________

Please, send a fax or e-mail with Completed form to Secretariat not later
  February 25,   2011   by:

Fax:       +7 (812) 315-59-72
E-mail:  zastava22@grf.spb.ru
Contact person
Ludmila Zaslavskaya