REGISTRATION FORM
Ordered Statistical Data: Approximation, Bounds and Characterizations
Warszawa, May 24-28, 2004
Family name: ……………………………………………………………
First name: ………………………………………………………………
Institution: ……………………………………………………….……... .…………………………………………………………………….....….
…………………………………………………………………….……..
Mailing Address: …………………………………………………….….
…………………………………………………………………….……..
………………………………………………………………………..….
Country: ………………………………………………………………....
Telephone/Fax: ……………………………………………………...…..
E-mail: ………………………………………………………………...…
Male (M) or Female (F): ………………………………………………...
Accompanying persons:……………………………………………….…
………………………………………………………………………...….
Date of arrival:………………………………..…………………………..
Date of departure:…………………………………..…………………….
Title of the talk............................................................................................
Payment:
PW guest house accommodation:
number of days …….. x number of persons …….. x 40 euro = …….. euro
Conference fee (before April 30, 2004) 70 euro
Late conference fee (since May 1, 2004) 100 euro
Accompanying persons fees:
Conference fee (before April 30, 2004) 60 euro
Late conference fee (since May 1, 2004) 90 euro
TOTAL
Suggested roommate:..............................................................................................