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: none single double double-shared
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:
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: PVM-MPI'97 Please mention clearly your name on the payment order.
PVM-MPI'97 Academic Computer Centre CYFRONET-KRAKOW P.O.Box 386 ul. Nawojki 11 30-950 Krakow 61, POLAND Please add 5% for bank costs to the TOTAL PAYMENT and mail the cheque to the PVM-MPI'97 Organizing Committee.