Registration form for participation in

First St.Petersburg Days of LOGIC and COMPUTABILITY

May 26-29, 1999

Family name:
First name:
Affiliation:
Position:
Address:
City:
Postal code:
Country:
E-mail address:
FAX:
Phone:

If you wish to stay in LDM hotel fill in the following fields:

number of rooms:

shared with:

price per appartment:

number of persons:

from (dd.mm.yy):

to (dd.mm.yy):

If you need visa to enter Russia, fill in the following fields:

FAX number to which the invitation is to be sent:

mailing address to which the invitation is to be sent:

city (with a Russian Consulate) where you will apply for a visa:

Also you should send by FAX 7(812)234 5819 copies of your passport pages containing the following information (fill in the corresponding fields, too):

Date of birth (dd.mm.yy):

Citizenship:

Passport number:

Date when passport expire:

Back to the main page of First St.Petersburg Days of LOGIC and COMPUTABILITY

number of rooms:
shared with:
price per appartment:
number of persons:
from (dd.mm.yy):
to (dd.mm.yy):

FAX number to which the invitation is to be sent:
mailing address to which the invitation is to be sent:
city (with a Russian Consulate) where you will apply for a visa:

Date of birth (dd.mm.yy):
Citizenship:
Passport number:
Date when passport expire: