ISSRNS’98 REGISTRATION FORM
(please return in a letter by April 15, 1998 to the
symposium address)
I will attend the ISSRNS’98 with / without______
accompanying persons
Title__________ First Name(s):__________________ Family
Name_________________ 
Male
/ Female
AFFILIATION _____________________________________________________________________________________
_________________________________________________________________________
MAILING ADDRESS ___________________________________________________________
__________________________________________________________________________
Phone__________________________ Fax____________________________
E-mail ____________________________
I plan to arrive on (date)_________________
by (train/airplain/car) (details of arrival, if known _______________
I am interested
in excursion to Cracow after the School at extra cost of 50 USD / 180 PLN
PAYMENT METHOD (Check One)
Eurocheck
Money Transfer Cash
upon Arrival (in PLN)
Please charge
my
(Visa / Eurocard / MasterCard) Credit Card #
_____________________________ Exp. Date __________________
Date________________ Signature__________________________
Payment should be made to:
Polskie Towarzystwo Promieniowania Synchrotronowego,
ul. Reymonta 4, 30-059 Kraków
Bank PeKaO S.A. O/Kraków, account # 12401431-7023022-2700-401112