PVM-MPI'97
                  (Krakow, Poland, November 3 - 5, 1997)


                            REGISTRATION  FORM
                  
      Please fill in BLOCK CAPITALS, mark X where appropriate 
        and send to the organizers before September 1, 1997
     
     

PARTICIPANT

Surname: ___________________________ First name: _______________________

Prof/Dr/Mr/Ms ______________________ Position: _________________________

Institution (as to appear on badge): ___________________________________

Institution (full name): _______________________________________________

Address: _______________________________________________________________

___________________________________  Country: __________________________

Phone: ____________________________  Fax: ______________________________

Email: _________________________________________________________________



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
PVM-MPI'97 account before September 1, 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 1, 1997, the Hotel may charge the first night.



REGISTRATION FEE, HOTEL DEPOSIT and ADDITIONAL FEES
 

Registration fee - Regular/Student           (450/300 DM)  _______  DM
 (received after September 1, 1997)

Hotel deposit                               (75/90/45 DM)  _______  DM

Tutorial(s)	              		     (30 DM each)  _______  DM

Fee for  n days 	                      (n x 80 DM)  _______  DM

Additional copy of Proceedings                   (120 DM)  _______  DM

Social events for accompanying person     (30, 35, 60 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, Ryek Gl. 31, 31-042 Krakow, Poland
   	No: 12401431 - 7033991 - 3000 - 411112 - 001
	PVM-MPI'97

     Please mention clearly YOUR NAME on the payment order.

___ or payed by cheque to the PVM-MPI'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:

  	PVM-MPI'97
 	ACC CYFRONET-KRAKOW
 	P.O.Box 386
 	ul. Nawojki 11
 	30-950 Krakow 61, Poland

   or email to:  pvmpi97@cyf-kr.edu.pl
   or fax to:    (+48 12) 341 084; 338 054

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