PCC99 AMIF-ESF                                
EUROPEAN SCIENCE FOUNDATION Workshop 
PHASE CHANGE WITH CONVECTION: MODELLING AND VALIDATION June 24-26, 1999, Warsaw T. A. Kowalewski (Warsaw), F. Stella (Rome), J. Banaszek (Warsaw), J. S. Szmyd (Cracow) REGISTRATION AND ROOM RESERVATION FORM
Name: ............................... Given Name: ................................ Title:......... Affiliation: ........................................................................................... Position: ........................................................................................... Address: ........................................................................................... Fax: ..................................... Phone: ........................... E-mail: ............................................................................................ Number of accompanying persons ............................................................... Arrival date: .............................. Departure date: .. ...............................
Accommodation Costs:
Full Conference attendance costs:
includes 3 nights 24/25, 25/26 & 26/27 June accommodation,
conference materials, refreshments
PLN 1200.00
Accompanying Person(s):
3 nights accommodation in extra room
extra person in double bed room

PLN 900.00
PLN 600.00
Student's fee:
includes conference materials, refreshments.

PLN 300.00
    
Please reserve for me extra nights :    ................................   single bed/double bed/apartment
(approx. price is 180/240/270 PLN  per night).                               PLN                 ...................
                                                                                                                                      
									   				    Total:  PLN         ......................

X 
Please make for me the above reservations.
    
I will pay amount of      ................................               after my arrival/ by bank transer.  
 
I need ESF financial support.  Short CV enclosed.
 
I have submitted the Extended Abstract  per post / e-mail , date:
* Payments will be done  in Zloty. The approximate  exchange rate is 1 Euro = 4.2PLN (Polish Zloty)

Exchange rates. Click to see how much is Zloty today 




Date:
............................... Signature: ........................................
Our Bank details:
IPPT PAN, Swietokrzyska 21, PL 00-049 Warszawa,
Bank PEKAO S.A. IV Oddz. Warszawa, Account number: 12401053-40054492-3000-401112-001, SWIFT: PKO PPLPW
Purpose: Zlec. Nr: 1068 / PCC99 Workshop
____________________________________________ 
Please return completed and signed booking form as soon as possible (use Fax please) to:
Elzbieta Rybakiewicz, PCC99 Workshop Secretariat, IPPT PAN, Swietokrzyska 21, 
PL 00-049 Warszawa, Poland, Fax: +48-22-8269815
WE CANNOT GUARANTEE ACCOMMODATION IF RETURNED AFTER 1.06.1999