XVIIth WORKSHOP ON GEOMETRIC METHODS IN PHYSICS

Bialowieza, POLAND, July 4-July 10, 1999

REGISTRATION FORM

I plan to attend the Workshop on Coherent States,

Quantization and Gravity in Bialowieza,

POLAND, July 4-July 10, 1998.

Name: _________________________________________________________________

Academic affiliation __________________________________________________

Address: ______________________________________________________________

 ______________________________________________________________________

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E-mail: _______________________________________________________________

Telephone: _______________________ Fax: _______________________________

I would like to present (check your selection) a paper____,  poster____

provisionally entitled: _______________________________________________

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A. Strasburger
Secretary of XVII WGMP
Faculty of Mathematics and Physics
University of Bialystok
ul. Lipowa 41 15-424 Bialystok, POLAND
e-mail: Aleksander.Strasburger@fuw.edu.pl
Tel: (+48) 85 7457 222, (+48) 85 7457 233, Fax: (+48) 85 7457 223