REGISTRATION FORM The 22nd International Symposium on Mathematical Foundations of Computer Science August 25-29, 1997, Bratislava, Slovakia

Please fill in (type or use block letters) and return this form together with a proof of payment to the Organizing Committee. For early registration the registration form must reach the Organizing Committee not later than July 15.

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

     ( ) Mr ( ) Ms

Nationality: ...............................................................
Institute/Organization: ....................................................
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Address: ...................................................................
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E-mail: ....................................................................
Phone: .....................................................................
Fax: .......................................................................
Names of accompanying persons: .............................................
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Special needs (later arrival or earlier departure, sharing room with, etc.):
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Payment: The fee should be transferred to the bank account of the Slovak Society for Computer Science, to speed up registration procedure, transfer you payment via correspondent banks of Tatra Banka.

EARLY REGISTRATION (before July 15)
  ( )  EATCS member              420 US$
  ( )  non-member                440 US$
  ...  accompanying persons
       per 220 US$               ... US$

LATE REGISTRATION (after July 15)
  ( )  EATCS member              460 US$
  ( )  non-member                480 US$
  ...  accompanying persons
       per 240 US$               ... US$

ROOM RESERVATION
  ( )  Double                    ----
  ( )  Single                     35 US$
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TOTAL AMOUNT                    .... US$


Date: ........................  Signature: .......................

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