The 14th International Conference on
RANDOM STRUCTURES AND ALGORITHMS
Poznan, August 3-7, 2009
Registration and hotel reservation form

The registration is closed.
If you wish to add/change any information in the form, please enter your first name, last name and e-mail (the format has to be identical to your first registration).
In case of any problems, please do not hesitate to contact us by email: rsa2009@amu.edu.pl.

First name*
Last name*
Nickname
(for your badge)
Affiliation
Department
Address
E-mail*
Sex male  female 
Have you
pre-registered?		 yes  no 
Will you give a talk? yes  no 
Title of your talk
Paper for proceedings yes  no 
Travelling to Poznan by air  rail  road 
Arrival details
Departure details
Vegetarian yes  no 
Accommodation requested

(all rates include full board)

Accompanying persons none  one  two  more 
Names of
accompanying
persons		 1.
2.
3.
Suggested roommate
Special wishes
(max. 100 characters)
 
rsa2009@amu.edu.pl