HiPer'97
                  (Krakow, Poland, November 5 - 8, 1997)


                            REGISTRATION  FORM
                  
        Please fill in BLOCK CAPITALS, mark X where appropriate 
               	       and send to the organizers

     
PARTICIPANT

Surname: ___________________________  First name: ______________________

Prof/Dr/Mr/Ms _______________________ Position: ________________________

Institution (as to appear on badge): ___________________________________

Institution (full name): _______________________________________________

Address: _______________________________________________________________

______________________________________  Country: _______________________

Email: _________________________________________________________________

Phone: _______________________________  Fax: ___________________________


ACCOMPANYING PERSON

Surname: _____________________________  First name: ____________________
     

PRESENTATION

Author(s): _____________________________________________________________

Title: _________________________________________________________________

       _________________________________________________________________
       
 
I am going to attend TUTORIALS:                  T1  ______   T2  ______


HOTEL RESERVATION  (the Continental Hotel)
 
Arrival date: __________________  at ____________

Departure date: ________________  at ____________  Number of nights: ___
 
Room required:

 ___ single room   			        	       (145 PLN) 

 ___ double room  					       (170 PLN)  

 ___ double room to be shared with ______________________(85 PLN/person)

Prices  indicated  are per room,  per night  (buffet  breakfast  and VAT
included).

In order to  confirm  your  room  reservation  please  send one  night's
accomodation  (hotel  deposit)  together with the  conference fee to the
HiPer'97 account before September 15, 1997.

The rest of the hotel payments will be made directly at the  Continental
Hotel by cash or credit card (American  Express, Diners Club,  Eurocard,
MasterCard,  Visa).  In case of  cancellation  of the hotel  reservation
after September 15, 1997, the Hotel may charge the first night.


REGISTRATION FEE, HOTEL DEPOSIT and ADDITIONAL PAYMENTS

Early registration fee - Regular/Student   (530/270 PLN)    _______ PLN 
 (received by September 15, 1997)   

Late registration fee - Regular/Student    (680/450 PLN)    _______ PLN 
 (received after September 15, 1997)

Hotel deposit                           (145/170/85 PLN)    _______ PLN 
 
Tutorial(s)	               		   (45 PLN each)    _______ PLN 

Additional copy of Proceedings                 (180 PLN)    _______ PLN

Social events for accompanying person   (90, 45, 60 PLN)    _______ PLN
 (please sum)

Lunch(es) for accompanying person          (45 PLN each)    _______ PLN

    
                  		          TOTAL PAYMENT	    _______ PLN


PAYMENT METHOD

The TOTAL PAYMENT is

___  transferred to the Conference bank account:
 
	Bank PeKaO S.A. o/Krakow, Rynek Gl. 31, 31-042 Krakow, Poland
   	No: 12401431 - 7033991 - 3000 - 411112 - 001
	HiPer'97

     Please mention clearly YOUR NAME on the payment order.

___  or payed by cheque to the HiPer'97 Organizing Committee.

    If payed by cheque please add 5% for bank costs to the TOTAL PAYMENT 
    and mail the cheque to the address below.
   
   
 Date: __________________		Signature: _____________________
  

 Please  return  this form to:  HiPer'97
                        	ACC CYFRONET-KRAKOW
                         	P.O.Box 386
 	                        ul. Nawojki 11
                        	30-950 Krakow 6,  Poland

 or email to:   hiper97@cyf-kr.edu.pl  
 or fax to:     (+48 12) 341 084; 338 054