I plan to attend the Workshop on Coherent States,
Quantization and Gravity in Bialowieza,
POLAND, July 4-July 10, 1998.
Name: _________________________________________________________________
Academic affiliation __________________________________________________
Address: ______________________________________________________________
 ______________________________________________________________________
 ______________________________________________________________________
 ______________________________________________________________________
E-mail: _______________________________________________________________
Telephone: _______________________ Fax: _______________________________
I would like to present (check your selection) a paper____,  poster____
provisionally entitled: _______________________________________________
_______________________________________________________________________
_______________________________________________________________________

Please send this form to: