Registration Form 	(please make a copy!)
IUPAC Conference

Degradation Processes in the Environment
24 - 28 May 1998, Dubrovnik (Cavtat) - Croatia

(Type/print exactly as it should appear on your name badge/the participant list)

Surname:.........................................................................................	Title:........................................
First Name:..............................................................	Initials:........................	Male/Female
Affiliation:..............................................................................................................................................
................................................................................................................................................................
Mailing Address:....................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
Phone:......................................	Fax:.............................................	E-mail:..........................................

Registration Fee (in USD):
q Regular participant - paid before March 1, 1998.	USD 200.-
q Regular participant - paid after March 1, 1998.	USD 300.-
q Student - paid before March 1, 1998.	USD 100.-
q Student - paid after March 1, 1998.	USD 150.-
q Accompanying person (USD100.- each)	USD .........
	Print name:..........................................................................
q Number of tickets for Conference dinner:.......(USD50.- each)	USD .........
q Number of tickets for a bus transfer 
	Airport-Hotel-Airport:.......(USD10.- each)	USD .........
-----------------+
Total:	USD .........

For bona fide students, their supervisor must co-sign the registration form. 

Date:...........................	Signature:......................................	Co-Signature:...........................................
	(print name)

Registration must be made using this form and payment of net amount must be made in USD by a bank transfer. Payment, specifying the name of participant, must be remitted to Rudjer Boskovic Institute, Zagreb, account number 710150-3270289 at ZAGREBACKA BANKA-ZAGREB, SAVSKA 60, HR-10000 ZAGREB, CROATIA with the following remark: 
For Degradation Conference in Dubrovnik (0J-106152), c/o Dr. A. Sabljic. 

Completed registration form and copy of payment with the name of participant must be sent to the conference Organizing Committee: 
A. Sabljic, Rudjer Boskovic Institute, PO Box 1016, HR-10001 Zagreb, Croatia