R E G I S T R A T I O N   F O R M

                                  MFCS'97
                Mathematical Foundations of Computer Science
                  August 25-29, 1997, Bratislava, Slovakia

Please, fill in (t y p e  or  use  b l o c k  letters) and return this form
together with a proof of payment to the ORGANIZING COMMITTEE. For early
registration the registration form must reach the ORGANIZING COMMITTEE not
later than  J u l y   1 5.


First name(s): 

Family name: 
             [ ] Mr.    [ ] Ms.

Nationality: 

Institute/Organization: 

Address: 

E-mail: 

Phone: 

Fax: 

Names of accompanying persons: 

Special needs (e.g. later arrival or earlier departure, sharing
room with ...):




P a y m e n t:  The fee should be transferred to the bank account of the
SLOVAK SOCIETY FOR COMPUTER SCIENCE, to speed up registration procedure,
transfer your payment via correspondent banks of Tatra Banka (listed 
below).

   Early Registration (before July 15):
   [ ]  EATCS member                      420.00 US$
   [ ]  non-member                        440.00 US$
        accompanying persons per 220 US$         US$

   Late  Registration (after  July 15):
   [ ]  EATCS member                      460.00 US$
   [ ]  non-member                        480.00 US$
        accompanying persons per 240 US$         US$

   Room reservation:
   [ ]  Double                              0.00 US$
   [ ]  Single                             35.00 US$

----------------------------------------------------
   Total amount:                                 US$


Date: 

Signature: