TAKIS Member Registration Form

First name and surname
Address
Phone number, fax number, e-mail
Preferred language
Date	Signature

Congress Registration

International Conference on Cybernetics - 7^th Congress of TAKIS
Slovakia, Nitra; 2^nd - 9^th June, 2002

This is to confirm the attendance at the conference of (name, surname)

Title of the paper:

Preferred language:
Date:	Signature

Please print out and mail to:

AProf. PaedDr. Eva Poláková PhD.
Pedagogická Fakulta
Univerzity Konŝtantina Filozofa
Trieda A. Hlinku 1
SK-949 74 Nitra
Slovakia