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{\bf REGISTRATION FORM}\\ 
{\bf Paul Erd\H os and His Mathematics\\
July 4-11, 1999\\
Budapest, Hungary}
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Please print or type

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NAME:\hrulefill$\mbox{ }$\newline
\noindent\hbox{}\hskip2truecm Ms/Mr\qquad	Family Name (for
badge)\hskip1.3truecm First Name(s)

\noindent
COUNTRY:\hrulefill$\mbox{ }$

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COMPANY/ORGANIZATION:\hrulefill$\mbox{ }$\newline\hbox{}\hrulefill$\mbox{ }$
\newline\hbox{}\hrulefill$\mbox{ }$

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MAILING ADDRESS: \hrulefill$\mbox{ }$\newline
\hbox{}\hskip4.3truecm Street Address\newline				        
\hbox{}\hskip4.3truecm\hrulefill$\mbox{ }$\newline
\hbox{}\hskip4.3truecm City

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Country with postal code:\hrulefill$\mbox{ }$

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PHONE: country code:\underbar{\hbox{\hskip1truecm}} area
code:\underbar{\hbox{\hskip1truecm}}  No:\hrulefill\hbox{}

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FAX: country code:\underbar{\hbox{\hskip1truecm}} area
code:\underbar{\hbox{\hskip1truecm}}  No:\hrulefill\hbox{}

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E-MAIL:\hrulefill\hbox{}

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ACCOMPANYING PERSON(S):\hrulefill$\mbox{ }$\newline\hbox{}\hrulefill$\mbox{ }$
\newline\hbox{}\hrulefill$\mbox{ }$\newline\hbox{}\hrulefill$\mbox{ }$ 

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I enclose the following proof of payment :

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Registration fee:\hrulefill USD\newline
Accompanying person's registration fee:\hrulefill USD\newline
Hotel deposit\hrulefill USD\newline
Total \hfill	\hbox{\underbar{\hbox{\hskip4truecm}}USD}	

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(Please note that all fees must be paid in USD.)

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Date:\underbar{\hbox{\hskip4truecm}}

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Signature:\underbar{\hbox{\hskip7truecm}}

\noindent\hbox{}\hrulefill\hbox{}\newline
 Please complete and sign this form and send along with the
proof of payments before April 1, 1999 via fax or ordinary mail
to the Office for
International Cooperation of the Hungarian Academy of Sciences\newline
H-1051 Budapest, N\'ador u.7.\newline  
Tel: + 36 (1) 317 6215\newline
Fax: + 36 (1) 317 2840 or 317 6215
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