Please, save the contents of this page by pressing Ctrl-S on your keyboard or by clicking "File" and "Save as..." in your Netscape window. Then edit the resulting file and send it by e-mail to smp34@phys.uni.torun.pl ----------------------------------------------------------------------------- THE 34th SYMPOSIUM ON MATHEMATICAL PHYSICS June 14-18, 2002, Torun, Poland ------------------------------------ R E G I S T R A T I O N F O R M ------------------------------------ NAME & SURNAME: ............................................................. AFFILIATION: ................................................................ ADDRESS: .................................................................... tel:................ fax:............... e-mail:........................... CONTRIBUTION: [ ] oral communication [ ] poster TITLE: .................................................................... ABSTRACT: ................................................................. ........................................................................... ........................................................................... ........................................................................... ........................................................................... ARRIVAL/DEPARTURE (mark from-to): June 13 14 15 16 17 18 19 HOTEL (approximate prices, single room per night, bills to be paid individually upon leaving): [ ] POD ROZA (EUR 55) [ ] I am coming alone [ ] University guest room (EUR 25) [ ] with an accompanying person SPECIAL REQUESTS: ........................................................... ........................................................... CONFERENCE FEE: [X] EUR 140 [ ] Accompanying person EUR 70 [ ] 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 "XXXIV SMP" (swift code: BIGBPLPW) ----------------------------------------------------------------------------- ADDRESS FOR CORRESPONDENCE: Organizing Committee XXXIV SMP Institute of Physics, UMK Grudziadzka 5 87-100 Torun, Poland Tel: (48-56) 6113236 Fax: (48-56) 6225397 E-mail: smp34@phys.uni.torun.pl ----------------------------------------------------------------------------- HOMEPAGE: http://www.phys.uni.torun.pl/zfmis/smp34/