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                  THE 33rd SYMPOSIUM ON MATHEMATICAL PHYSICS
                        June 5-9, 2001,  Torun, Poland

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                      R E G I S T R A T I O N    F O R M
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NAME & SURNAME: .............................................................

AFFILIATION: ................................................................

ADDRESS: ....................................................................

  tel:................ fax:............... e-mail:...........................

CONTRIBUTION:      [ ]  oral communication          [ ]  poster
  TITLE: ....................................................................
  ABSTRACT: .................................................................
  ...........................................................................
  ...........................................................................
  ...........................................................................
  ...........................................................................

ARRIVAL/DEPARTURE (mark from-to):     June     4   5   6   7   8   9   10

HOTEL (approximate prices, single room per night):
   [ ]  HELIOS ($75)                      [ ]  I am coming alone
   [ ]  POD ROZA ($40)                    [ ]  with an accompanying person
   [ ]  University guest room ($15)

SPECIAL REQUESTS: ...........................................................

CONFERENCE FEE:    [X] $120                  [ ] Accompanying person $60
                   [ ] Bank transfer         [ ] I will pay later


Money transfers (conference fee only) should be made to the account of
Nicholas Copernicus University at

  BIG Bank Gdanski S.A. II O/Torun, Sz. Chelminska 17, 87-100 Torun, Poland
                   Acct #: 11602068-67054001 "XXXIII SMP"
                           (swift code: BIGBPLPW)

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ADDRESS FOR CORRESPONDENCE:                   Organizing Committee XXXIII SMP
                                              Institute of Physics, UMK
                                              Grudziadzka 5
                                              87-100 Torun, Poland

Tel: (48-56) 6113236   Fax: (48-56) 6225397   E-mail: smp33@phys.uni.torun.pl
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          HOMEPAGE:   http://www.phys.uni.torun.pl/zfmis/smp33/