Registration form for the Conference ISSS 2000

Surname		First name		
Occupation		University degree		
Company		
Street		Number		
City		Post Code		
Phone number		Fax		
E-mail		WWW		
Number of participants		
Payment till 29 February 2000.*
o USD 55,–
o EUR 51,–	Payment after 29 February 2000.*
o USD 65,–
o EUR 60,–	
Total amount		
* Prices are including VAT (DPH).

Thereby I confirm my participation to the Conference.

o  E-mail me pro-forma invoice, please.

The deadline for registration is 15 March 2000.

Completed form send by fax or by mail, please, to the Secretariat of the Conference. You can also registrate by the Internet: http://www.isss.cz

Address: 	Triada, spol. s r. o., U svobodárny 12, 190 00 Praha 9	
Phone:	+420-2-684 09 87, 84 81 40 41, 84 81 70 17	
Fax:	+420-2-84 81 80 27	
E-mail:	isss@isss.cz