International Conference "COSMOLOGY ON SMALL SCALES" 19-21 September 2024 Prague, Czech Republic REGISTRATION FORM Title: First (given) name (*): Second name / initials: Last name (surname) (*): Affiliation (*): E-mail address (*): Postal address (*): Telephone: Title of the suggested contribution (*): Do you need the official invitation for visa application (*): Remarks / special requests: ------ Asterisks (*) denote mandatory fields Please, send the filled-out form to krizek@cesnet.cz before July 31, 2024