MMM-ACNS 2001      Staff use only

May 21 - 23, 2001, St.Petersburg Russia      Registration No______

Registration Form

Title: _____________First Name _________________Last Name_____________________________

Position ____________ E-mail ____________ Institution, Company __________________________

Street Address ________________ City ____________ Zip _____ Country _____________________

Phone _____________________________ Fax _________________ __________________________

Accompanying Person’s Name ___________________________

Accompanying Person’s Name ___________________________

Workshop Registration

1 I am invited speaker                  1 I will present a paper #                           1 I have no presentation

Registration Fee(Please fill in your payment)

*Important: A proof of a student’s status must accompany your registration form.

Date of Arrival: ________Flight (if available)__________Airline ____________Time of arrival _____________

Date of Departure: ______Flight (if available)_________Airline _____________Time of departure___________

Registration fee covers: invitation, three days of the workshop, including two coffee-breaks and one lunch daily, participant's kit, one copy of the workshop proceedings, welcome reception, workshop dinner, transportation from and to airport upon arrival and departure, and one city tour.

Registration fee for accompanying person(s) coversinvitation, lunch daily, welcome reception, workshop dinner, transportation from and to airport upon arrival and departure, one city tour.

Way of payment (except on-site registration)

Registration fee should be in US$ and forwarded by bank transfer to the account:

SAVING BANK OF THE RUSSIAN FEDERATION

(ST.PETERSBURG CITY OFFICE)

Code SWIFT=SABRRUMMSH1

Account No. 40503840255200201560

St.Petersburg Institute for Informatics and Automation (SPIIRAS)

Please, note: "Registration fee for participation in the MMM-ACNS-2001 Workshop"

"Name(s) of participant(s)"

Hotel Reservation (Please indicate your choice in box 1)

Signature ______________________________________ Date _____________________

Please complete this form and return it before March 15, 2001 for Advance Registration to:

Ms. Irina Podnozova, FAX: +7-(812)-328-06-85