11th Colloquium on Structural Information
        and Communication Complexity

               (SIROCCO) 
              
           June 21 - 23, 2004
       Smolenice Castle, Slovakia

      http://sirocco.informatika.sk 
      
           REGISTRATION FORM

Please, fill in (type or use block letters) and return this 
form to the organizers via fax to(++421 2) 654 24 826 or e-mail
sirocco@informatika.sk. For an early registration thisform must 
be receivad no later than May 16, 2004. Please note that the 
number of single rooms and suites is limited; in case you 
booked this option, please, wait for an e-mailacknowledgement 
from the organizers before making your payment.

[ ] Mr. [ ] Ms. First name(s): 
Family name:
Nationality:
Affiliation:
Address:
E-mail:
Phone: 
Fax:
Expected Date of Arrival:
Expected Date of Departure:
[ ] Vegetarian meals 
Any Other Messages to the Organiers:

The conference fee includes attendance to the lectures, accomodation 
for 3 nights (June20,21,22) in a double room with full board, a 
copy of the proceedings, and social events.

Registration
-------------

            early               late
regular   [ ] 375 EUR       [ ] 415 EUR
student   [ ] 265 EUR       [ ] 305 EUR

Accomodation
------------

double room [ ] 0 EUR
single room [ ] 60 EUR
suite       [ ] 120 EUR

Total amount:           EUR