SEES'98
Software Engineering Education Symposium

18-20 November, 1998 Poznan, Poland



Registration Form

First Name
Last Name
Affiliation
Address
City
State/Zip
Country
Fax
E-mail
I wish to present a paper
Title of the paper

Conference fee

Early registration
Payment before October 10, 1998
300 DM
(or 560 zl for Polish participants)
Late registration
Payment after October 10, 1998
350 DM
(or 650 zl for Polish participants)


The conference fee includes
The papers will be included in the Conference Proceedings only if the fee is paid before October 10, 1998.

The conference fee should be paid by Bank transfer to:

Bank Name WBK VI O/Poznan
Account name Politechnika Poznanska, Pl. M. Sklodowskiej Curie 5, 60-965 Poznan (Poland)
Account number 10901362-4574-128-SEES98
Identifier SEES98-Last Name, First Name



The part below referes to Polish participants only due to local regulations:

Uczestnicy zainteresowani otrzymaniem faktury VAT proszeni sa o przeslanie poczta lub faxem (na adres Andrzej Jaszkiewicz, Instytut Informatyki, Politechnika Poznanska, ul. Piotrowo 3a, 60-965 Poznan, fax. 0-61-8771525) oswiadczenia niniejszej tresci:

Nazwa i adres firmy/organizacji: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Niniejszym upowazniamy do wystawienia faktury VAT bez naszego podpisu.

Pieczatka i podpis osoby upowaznionej




Last update 12 May, 1998 - AW