This form should reach the organizer not later than March 15, 2000!

Prof. Ante Graovac
R. Boskovic Institute
HR-10001 Zagreb, POB 1016
Croatia


                        REGISTRATION FORM

                        MATH/CHEM/COMP'2000
               June 19-24, 2000, Dubrovnik, Croatia

( ) I plan to attend the MCC'2000 with presentation(s)

     entitled  __________________________________________________

     ____________________________________________________________


( ) I enclose the abstract(s) of my ( ) oral and/or ( ) poster
     presentation(s)

( ) I enclose ( ) check 

( ) I am unable to attend but I will send a manuscript

( ) I am a student and ( ) I enclose 2 recommendation
     letters


Name & Family Name:     _________________________________________

Accompanying Person(s): _________________________________________

                        _________________________________________

Address:     ____________________________________________________

             ____________________________________________________

Phone:  ________________________  Fax: __________________________

E-mail: _________________________________________________________