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	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.

_______________________________________________________________________


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 
http://www.risc.uni-linz.ac.at/conferences/adg2002/