ADG'02 Registration Form
Name:
Affiliation:
Full address:
Country:
e-mail:
Telephone:
Telefax:
For lunches etc.: o vegetarian o regular food
Conference Registration fee:
|
|
Registration and payment received by July 13, 2002 |
Registration and payment received after July 13, 2002 |
|
o Regular * |
EURO 270,-- |
EURO 300,-- |
|
o Students ** |
EURO 130,-- |
EURO 150,-- |
Payment:
Payment should be made in EURO. Please note that bank fees must be paid by the participant.
o payment will be made by bank transfer into the following account:
Raiffeisenbank Hagenberg/Pregarten
BLZ (bank code): 34460
Account number: 850-05.225.321
Specify: "ADG'02 Conference" and name of participant
o I hereby authorize the conference treasurer to charge my credit card for the
amount mentioned in "Total costs".
o American Express
o Eurocard/Mastercard
o Visa
Card holder's name:
Credit card number: Expiration date:
o cash at registration desk
* Fee for regular participant includes: abstracts, refreshment breaks, lunches, conference banquet, shuttle bus from conference hotel to the conference site and back.
** Fee for students includes: abstracts, refreshment breaks, lunches, shuttle bus from conference hotel to the conference site and back.
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For hotel reservation in conference hotels:
IBIS in the city of Linz
o single room EURO 63,--
o double room EURO 87,--
Student residence in Hagenberg at the conference site (25 km outside of Linz)
o single room EURO 22,--
o double room per person EURO 21,--
Expected date of arrival:
Expected date of departure:
Payment should be made directly to the hotel, when checking out. A deposit is not required. Please communicate any changes in arrival or departure dates promptly. In case of non-appearance, you can be charged for the costs involved.
Special requests:
Date: Signature:
The completed form can be either mailed, faxed or emailed to:
Mrs. Ramona Poechinger
RISC-Linz
Johannes Kepler Universität Linz
Schloss Hagenberg
A-4232 Hagenberg, Austria
Fax: +43 732 2468 9930
Email: ramona.poechinger@risc.uni-linz.ac.at
For further information see the web page