Registration form
(Fields marked with * are obligatory)
PERSONAL DATA
*First Name: 
*Last Name: 
*Sex:  female male
*Institution: 
MAILING ADDRESS
*Street: 
*Zip/Postal Code: 
*City: 
*Country: 
*E-mail: 
CONTRIBUTION
   *I wish to present a talk 20 minutes 40 minutes
Tentative Title: 
   I don't wish to present a talk
ACCOMMODATION (provided by the organizers)
single double triple room in "Dworek"
student dormitory
Date of arrival: 
Date of departure: 
ADDITIONAL INFORMATION (accompaning person, comments, suggestions etc.)