SCIENTIFIC TECHNICAL CONFERENCE
"PHYSICS AND APPLICATION OF ULTRASOUND"
St.Petersburg, 10-12 of June 1997
REGISTRATION FORM
To be completed and returned to the Organizing Committee by mail Pr.Popova st., 5, St.Petersburg, Russia, 197376, Organising Committee ÔèÒÓ-97.
E-mail: pavros@eut.etu.spb.ru Fax: (812) 234-3726
NAME............................................................................................................................................................
SURNAME....................................................................................................................................................
ADDRESS......................................................................................................................................................
CITY/STATE/ZIP..........................................................................................................................................
.........................................................................................................................................................................
COUNTRY.....................................................................................................................................................
TEL.FAX/E-MAIL.........................................................................................................................................
HOTEL RESERVATION FORM
Organising committee offer to make the hotel reservation for guests of the conference.
We have following accommodation possibilities in hotel "MOSKOW" or "ASTORIA":
Payment makes of USD 70 up to USD 250.
Breakfast included. Dead line for rerservation is February 28, 1997.
O I have not needs in hotel reservation ................................................................................................ If you have not needs in our help to make the hotel reservation please sign here:
O I order a room from ........ June 1997 to ....... June 1997, number of nights............................... single room............................ 1/2 of double room ...................... whole double room................ Total sum for hotel reservation USD ...................................................................................................................
Total sum USD ................... (fee USD 300 plus hotel reservation money) was transfered (will be paid in cash).
Please, use the folloving Bank to transfer the sum or bring it with you to pay in cash at the conferenc.
St.Petersburg,Q-Net
Baltiyskiy bank, telex: 821702 BALTB RU, SWIFT: BABJ RU 2P,
REUTERS: BALT, valuta konto 011070924/001/0000
Date : Signature:
|