DAY on DIFFRACTION'99               
June 1 - June 4, 1999, St.Petersburg, Russia
Registration Form

The registration fee is 120 USD to be payed in cash at the registration.
It covers Proceedings of the Seminar, lunches for three days and picnic party.

Full Name            
Title                      
Affiliation            
Fax                       
E-mail                
Mailing address  

I would like to participate DAY on DIFFRACTION'99 Seminar 
with accompanying person(s) Yes No
I would like to submit a talk        Yes No
titled    
Synopsis:
(please type the synopsis of your talk here;
or you may insert ASCII, TeX or Post Script file into this area)
Please note that we expect your camera-ready abstracts (preferably limited by one A4 page in 10pt font) to be submitted electronically to Organizing Committee by April 1, 1999; otherwise the synopsis below will be printed in the Proceedings of Seminar.

If you didn't settle to participate yet, check below:
Please e-mail me the Preliminary Program when available                            Yes No
Please tell me know how could I download the Proceedings when available  Yes No
or send me the hard copy of Proceedings                                                           Yes No

VISA FORMALITIES (complete ONLY if you need the official invitation):
          Participant                                               Accompanying person
Citizenship                              Citizenship        
First name                               First name         
Family name                            Family name     
Date of birth                           Date of birth     
Passport number                   Passport number

Dates of stay in Russia                                                   Dates of stay in Russia
      from  to                         from  to

HOTEL RESERVATION (approximate prices per night):
Check here if no reservations necessary:             

Class of hotel:      **** $70 single/$100 double *** $35 single/$50 double
Please reserve Single / Double room from  to

Date of registration: