Registration Form for PLI 2001 workshops:

Please follow this procedure:

Giubbi Jet di Volo Viaggi
Piazza San Jacopino, 34/r - 50144 Firenze
Tel. +39 055 3249074 - +39 055 350577
Fax +39 055 366807

Please, fill in your complete postal address, carefully. This will be used to send you receipts.

Title First name Middle name initials Last name
Institution or Company
Street Address
P.O. Box
CityState code Zip Code
Country Telephone
Email Fax number

Registration for:
(Fees are in US Dollars)
    Regular Full-time Student
ERLANG 75 65
FICS 75 65

For any information, please contact the