Name and address of the contact person
 First Name      (John)
 Last Name       (Smith)
 Organization    (MPII)
 Department      (AG2)
 Street/PO Box   (Im Stadtwald)
 Zip Code           City   (D-66123 Saarbücken)
 State           (Saarland) 
 Country         (Germany)
 E-mail address  (smith@mpi-sb.mpg.de)

Address of the subscribing organization 
(if different to the contact person)

 Organization     
 Department     
 Street/PO Box  
 Zip Code          City   
 State                 
 Country        
 E-mail adress  
 Phone          
 Fax            

The subscriber is member of the IGPL:         yes no
Please do not send us all issues up to volume  number 


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