SOFSEM'98 - Registration Form

Please mail,
e-mail or fax to:
Mrs. Marcela Gschillova
SOFSEM'98
INFOSTAT, Dubravska 3
842 21 Bratislava
Slovak Republic

fax: (+421 7) 5479 1463
e-mail:
sofsem98@dcs.fmph.uniba.sk


          SOFSEM'98 REGISTRATION FORM AND PAYMENT NOTICE

Mrs. Marcela Gschillova 
SOFSEM'98
INFOSTAT, Dubravska 3
842 21 Bratislava
Slovak Republic
fax: (+421 7) 5479 1463
e-mail: sofsem98@dcs.fmph.uniba.sk


        Family name (Mr, Ms) :  ............................

        First name:             ............................

        Organization:           ............................

        Current position:       ............................

        Address:                ............................

        Country:                ............................

        Phone:                  ............................

        E-mail:                 ............................

        Amount of Payment:      ............................

        Date of Payment:        ............................

        Details of Payment:     ............................

        Vegetarian Meals:       YES      NO
        Type of Fee:            S0       S1      S2      S3
        Member of SSCS/CSCS     YES      NO

        ACM/OCG member number:  ............................

        Comments:               ............................

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        Date:                   ............................