Online Application Form

Please use only one form for each applicant!
If you want to change an application already submitted, please contact us by email

*Fields marked are required**
Degree:	Student Dr Prof.
Gender:	Ms./Mrs. Mr.
First Name:*
Last Name:*
Institution:*
Street:*
Postal Code & City:*
Country:*
Telephone:
Fax:
Email address:*
Charges (including school fee, accommodation and meals):*	Double room (shared with another participant) - 1370 PLN per person. Double as single room - 2140 PLN. Double room (participant+accompanying person) - 2140 PLN + 50 PLN per day. School fee only (for participants not using school accommodation and meals) - 250 PLN.

For payment details, see under fees

I want to share a room with:
Brief description of your present research interests:*
Please list three recent publications or provide the name and email address of the recommending senior scientist:*
I would like to present a poster.

Please submit the poster title and abstract here . Do not send us the poster abstract directly by email! Submission deadline: 31st March 2009.

Address:
3rd Warsaw School of Statistical Physics
Institute of Theoretical Physics
Faculty of Physics, Warsaw University
00-681 Warsaw, Poland

E-mail:
wssph_AT_fuw.edu.pl