| 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: ............................
............................
Date: ............................