REGISTRATION FORM for WFLP`99

First Name: ..............................................

Last Name: ...............................................

Institution: .............................................

E-mail: ..................................................

www: .....................................................

Address: .................................................

I prefere a single room : () yes ()do not care

I prefere a double room : () yes ()yes with .... ()no

In case of a shortage of rooms, I am willing to share a room:
() yes  () yes with ....  () no

Date of arrival: .........................................

First meal: () Breakfast, () Lunch, () Dinner

Date of departure: ........................................

Last meal: () Breakfast, () Lunch, () Dinner

I intend to give a talk: () short-15'   () long-30'

Message to the organizers:
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