DEADLINE FOR SUBMISSION OF THIS FORM: APRIL 30, 2001.

Title:	Prof.
	Dr
	Mr
	Mrs

Name:

Surname:

	Female
	Male

Affiliation:

Address:

Postal Code:

City:

Country:

Telephone:

Fax:

E-mail:

Accompanying person(s):

1. Presentation (not for invited key speakers):
Title of the presentation:

Author(s):

Presentation preferred (please tick appropriate box):
Oral
Poster

I am going to submit a paper at the conference desk, for publication in the NATO Science Series (Kluwer Academic Publishers):
Yes
No

2. Accommodation (please tick appropriate box):
Hotel:
single room
double room, I wish to share the room with

3. Accommodation expenses (if concerns):
450 USD (for foreign participants)
1500 PLN (for Polish participants)
300 USD (for foreign accompanying persons)
1000 PLN (for Polish accompanying persons)

Total amount:
USD
PLN
Full payment is required before July 31, 2001.

4. Last minute (please tick appropriate box):
I wish to receive last circular by:
E-mail
Post