Krakow, Poland
November 5 - 8, 1997


FORMULARZ REJESTRACYJNY

To register for the HiPer'97 Conference, please complete this form.
It will be e-mailed automatically to the Conference Organizing Committee.


PARTICIPANT

Prof/Dr/Ms/Mr:
Surname:   First name:
Position:

Institution (as to appear on badge):
         
Institution (full name):
        
Address:
        

Country:   e-mail:
phone:     fax:   

ACCOMPANYING PERSON

Surname:   First name:

PRESENTATION

Author(s):
        

Title:
        

Click here when you are going to attend TUTORIAL(S): T1 T2

HOTEL RESERVATION (the Continental Hotel)

Arrival date:    Arrival time:    
Departure date:  Number of nights:
Room required:

If double-shared room, please fill in surname of the second person:

REGISTRATION FEE, HOTEL DEPOSIT and ADDITIONAL FEES

Please fill in the appropriate places:

Event Amount
Early registration fee (received by Sep 1, 1997)
( 530 PLN - Regular,  270 PLN - Student )
Late registration fee (received after Sep 1, 1997)
( 680 PLN - Regular,  450 PLN - Student )
Hotel deposit (per room and night)
( 145 PLN - single,  170 PLN - double,  85 PLN - one bed in double )
Tutorial(s) ( 45 PLN each )
Additional Proceedings ( 180 PLN each )
Accompanying person's social events
( 90 PLN - Wieliczka,  45 PLN - Opening,  60 PLN - Wawel )
Accompanying person's lunch ( 45 PLN each )
----------
TOTAL PAYMENT ( PLN )
Please add:

PAYMENT

The TOTAL PAYMENT will be:

a/ transferred to the Conference bank account: 

      Bank:   PeKaO S.A.
              Rynek Gl. 31 
              31-042 Krakow, Poland
      Number: 12401431-7033991-3000-411112-001
      Name:   HiPer'97

   Please mention clearly your name on the payment order.
b/ or payed by cheque to: 

      HiPer'97
      Academic Computer Centre CYFRONET-KRAKOW
      P.O.Box 386
      Nawojki 11
      30-950 Krakow 61, POLAND   

   Please add 5% for bank costs to the TOTAL PAYMENT 
   and mail the cheque to the HiPer'97 Organizing Committee.
Submit Registration Form:
Reset the entire form: