31st Annual Conference on Current Trends in Theory and Practice of Informatics SOFSEM January 22 - 28, 2005 Hotel MAJ, Liptovsky Jan, Slovak Republic http://www.sofsem.sk -------------------------------------------------------------------------- REGISTRATION FORM Please, fill in (type or use block letters) and return this form to the organizers via fax to (++421 2) 654 27 041 or e-mail sofsem@informatika.sk. For an early registration this form must be received no later than November 26, 2004. Family name: ................................................ Nationality: ................................................ Affiliation: ................................................ Address: .................................................... E-mail: ..................................................... Phone: ...................................................... Expected Date of Arrival: ................................... Expected Date of Departure: ................................. Any Other Messages to the Organiers: ........................ The regular conference fee includes attendance to the lectures, accomodation for 6 nights (January 22-27) in a double room with full board, a copy of the proceedings, and social events. The student fee does not cover LNCS proceedings. The accompanying persons' fee covers the accomodation with full board and social events. REGISTRATION ------------ early late (before Nov, 26) regular [ ] 14 900 SKK [ ] 16 900 SKK student [ ] 12 900 SKK [ ] 14 900 SKK SSCS&CSCS [ ] 13 900 SKK [ ] 15 900 SKK accomp. person [ ] 9 000 SKK [ ] 9 000 SKK Extras: single room [ ] 3 600 SKK addtnl. proceedings [ ] 1 500 SKK Total amount: .......... SKK BANK TRANSFER PAYMENT --------------------- I paid the amount of ................... SKK by bank transfer on ............... to the account given below: Beneficiary: Slovak Society for Computer Science Address: Mlynska Dolina, FMFI UK 842 48 Bratislava, Slovakia Account #: 2623081336/1100 Bank: TATRA BANKA a.s. Bratislava Branch Vajanského nábr. 5, P.O. Box 9 810 06 Bratislava, Slovak Republic SWIFT Code: TATR SK BX IBAN Code: SK30 1100 0000 0026 2308 1336 Details of Payment: SOFSEM'05 - Date:............................................. Signature:........................................ CREDIT CARD PAYMENT ------------------- Please note that your signature (sent by fax to (++421 2) 654 27 041 or surface mail to Dana Pardubska - SOFSEM, KI FMFI UK, Mlynska dolina, 482 48 Bratislava, Slovak Republic) is required for processing your credit card payment. Please, charge my credit card with the amount of ................... SKK [ ] VISA [ ] EUROCARD/MASTERCARD Card No.: .............................................................. Name: ................................................................... Address: ................................................................ ......................................................................... ......................................................................... Date: ........................... CVC-2 code(1): ....................... Signature: .............................................................. ------------------------------------------------------------------------- (1) CVC-2 code are the last three digits written on the back side of the card - see the slip with the Authorized Signature