Please Enter Your Information

                               		LASTNAME*    		    FIRSTNAME 

  Student Name 1:              

  Student Name 2:              

  Team Number*  :            
  (Ex: T1,T2,.....T20)
  Organization Name:         
				     IUPUI-Indiana University Purdue University Indianapolis
                             Moscow state University - Moscow (Russia)
                             University of Barcelona - Spain
                             School of Pharmacy - Lublin
                             

  Semester:*                  
			     Spring
                             Summer_1
                             Summer_2
                             Fall
                             


  Year:*			 
			     2006
                             2007
                             2008
                             2009