The 4th INTERNATIONAL WORKSHOP ON OPTIMIZATION AND INVERSE PROBLEMS IN ELECTROMAGNETISM Brno, Czech Republic, June 19 - 21, 1996 .............................................................................................................................. Questionnaire If you still did not register, if your old data are wrong or incomplete, please fill in and return to the Workshop Secretariat as soon as possible. Thank you. Dr. Ales Gottvald (Workshop Secretariat) Inst. of Scientific Instruments Academy of Sciences of the CR Kralovopolska 147 CZ-612 64 Brno Czech Republic E-MAIL: gott@isibrno.cz, FAX: +42 5 412 111 68, TEL: +42 5 413 212 46 Name: Full Address: E-MAIL: FAX: TEL: I am interested in the Workshop. Please continue to send information. I am not interested in the Workshop. Please delete my name from the mailing list. I plan to attend the Workshop. I am planning to bring an accompanying person. I plan to present a paper preliminarily entitled: ............................................................................................................................................. Please include the following person into the mailing list of the Workshop: Name: Full Address: E-MAIL: FAX: TEL: