1999 CSIT Workshop Registration Form
January 18 - 22, 1999
Moscow Engineering Physical Institute (MEPhI)
Kashirskoye Shosse, 31
115409 Moscow, Russia
Tel.: +7 (095) 323-94-37

The registration will be open at the address above on January, 17 from 16:00 till 18:00 PM and
on January, 18 from 13:00 till 14:00 PM at Moscow State Engineering Physical Institute (MEPhI).
The nearest Metro Station "Kashirskaya", then by bus No 738 (the next stop "MEPhI", 3 minutes !).


Last Name ........................................................................ First Name ............................................................ Middle .........

Name as you Want to Appear on Badge ...............................................................................................................................

Affiliation ...............................................................................................................................................................................

Mailing Address .....................................................................................................................................................................

.................................................................................................................................................................................................

City .................................................................. State ............ Zip Code ....................  Country ............................................

Telephone ...................................................................................... Fax ................................................................................

E-mail ..................................................................................... URL .......................................................................................

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Date of arrival ..................................................................................... Flight No .......................................................................................

Date of departure................................................................................. Flight No .......................................................................................

I booked a room at the Hotel .................. ..........................................................

[   ] Do not include my name,address, phone number or email address  in a published list of participants

Registration Fees:
Registration fee includes, for all registrants, attendance to the CSIT'99 Workshop, a copy of the proceedings, refreshments and the conference reception on January 18th.

Regular registration:             US$ 180
Student's registartion:           US$  90

Payment:

Total Amount  =  US$ .......................

Due to the organizing reasons we do not use bank transfers this year, payment can be made by cash at the Registration Desk.
The participants from former Soviet Union countries have special discounts to attend CSIT'99 sessions and buy the proceedings.
 

Mailing Information:
 

Please,  e-mail this registration form to:

Prof. Viacheslav Wolfengagen             Tel: (+7 095) 939-1885
                                                            Fax: (+7 095) 939-1885
                        Email: vew@jmsuice.msk.ru
"JurInfoR-MSU"
Attn: CSIT'99 Registration