Application form

Persons interested in participating are kindly asked to fill out the included below form and send it by fax, mail or e-mail to

dr Michal Praszalowicz
Inst. of Physics, Jagellonian Univ.,
ul. Reymonta 4,
PL-30 059 Krakow,
Poland
E-mail: michal@thrisc.if.uj.edu.pl
fax: ++ 48 12 6337086


               CRACOW SCHOOL OF THEORETICAL PHYSICS
                         XXXIX COURSE

                 ZAKOPANE, 29.05 - 08.06, 1999
                           POLAND

              *** REQUEST FOR PARTICIPATION ***

       To be returned not later than 1 April 1998 via e-mail, fax or ordinary mail.



         NAME:  ...........................................
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INSTITUTE ADDRESS (full mailing address):
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       FAX NO.: ...........................................
       E-MAIL : ...........................................


ACCOMMODATION IN:
    DOUBLE ROOM ...........................................
    SINGLE ROOM ...........................................

ACCOMPANYING PERSONS (SPOUSE, CHILDREN):
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