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   			        	         (75 DM) 

 ___ double room  					         (90 DM)  

 ___ double room to be shared with _______________________(45 DM/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    (350/180 DM)    _______  DM
 (received by September 15, 1997)   

Late registration fee - Regular/Student     (450/300 DM)    _______  DM
 (received after September 15, 1997)

Hotel deposit                              (75/90/45 DM)    _______  DM
 
Tutorial(s)	               		    (30 DM each)    _______  DM

Additional copy of Proceedings                  (120 DM)    _______  DM

Social events for accompanying person    (60, 30, 40 DM)    _______  DM
 (please sum)

Lunch(es) for accompanying person           (30 DM each)    _______  DM

    
                  		          TOTAL PAYMENT	    _______  DM


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