Title:
Surname/Family Name:
First Name:
Organization:
Position:
Address:
Postcode:
City:
Country:
Phone:
Fax:
E-mail: (obligatory, necessary for fast communication)
Name of accompanying person(s):
Registration fee:

^*If paying by credit card, you can register by fax on : (+48 61) 8684 524.

Name of Cardholder:
Expiry date:
Card Number:
Card Name:
Signature:

Insurance

Registration fee does not include personal, travel or medical insurance of any kind. The PM'99 Organising Committee does not take any responsibility for any delegate failing to insure.

ON-SITE REGISTRATION

On-site registration will take place in the Science Centre of the Polish Academy of Sciences (ON PAN) in Poznan, ul. Wieniawskiego 17/19, phone (+48-61) 8528 503. The Conference Office will be open at this address for the whole activity time starting on June 20 (Sunday) at 3 p.m. If the registration fee has not been received in advance, the payment increased by 20% should be made on site. Please note that only cash and credit cards (see payments ) can be accepted.

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