SOFSEM 2000 - Registration Form

Mr, Ms
Family name
Given name (Middle initials)*
Affiliation
Address
Phone	FAX
E-mail
	Type of Fee: (S1/S2.../S9/S0) Single/Double Room: (S/D) Vegetarian Meals: (Y/N)
Amount Paid
Date of Payment
Details of Payment
Passport, (for CZ/SK "ROC" and "COP" number)
Date
Message for OC

Sending of this Form		Reseting of this Form		BACK to

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