Registration form


 

  Miss Mrs Mr
  title as it should appear on the badge and lists
  surname  
  first name  
  institute/company  
  address  
  zip code  
  city  
  country  
  phone number  
  fax number  
  e-mail  
       

payment

 
  There is a US$100 registration fee. It will be pay first day at registration bureau.
 
 
 

accomodation

 
  Do you want us to take care of your hotel reservation ? yes no  
  you will find here a map and a list of various hotels, downtown.
 		  


 

  number of rooms  
  number of nights  
  arrival date / /  
  departure date / /  


 

  single room double room
    double bed twin beds
  category ** *** ***sup ****  
  If you have a preferred hotel, which is it ?


 

  price per night, including breakfast
 
category ** *** *** sup ****
single room        
double room