REGISTRATION FORM NETWORKS '99 August 9 -10, 1999 Espoo, FINLAND |
Please return this form by July 15, 1999 to:
susanna.koskinen@hennax.inet.fi or FAX +358 9 5617 0033 |
One participant per registration form. Kindly type or use capital letters.
First name |
Surname |
|
Title |
Position |
Institution/corporation |
|
Department |
|
Street address |
|
Postal code and city |
|
State/country |
|
Phone (incl. country/area code) |
|
Fax (incl. country/area code) |
|
Email: |
Registration fee |
code |
price/person |
Registration fee before 15th July, 1999, Non-IJCAI '99 participants |
R1 |
FIM 1000/EUR 170 |
Registration fee before 15th July, 1999, IJCAI '99 participants |
IR1 |
FIM 500 /EUR 85 |
Registration fee undergraduate students (not incl. conference dinner) |
SR1 |
FIM 200/EUR 35 |
Social programme |
|||
Monday Aug. 9 |
Welcome Reception, VTT Electronics |
incl. in reg. fee |
|
Tuesday Aug.10 1999 |
Conference dinner |
incl. in reg. fee |
|
Conference dinner for the accompanying person |
FIM 300 |
||
TOTAL IN FIM/EUR |
/ |
Method of payment
. Registration fee should be paid in advance.
Credit card:
o Visa Name of card holder ________________________________ Expiry date (mm/yy) ____/____ Amount to be charged in FIM/EUR ________ Date ______________________ Signature _________________________ |
Bank transfer. Bank: Merita Bank Espoo-Otaniemi STES/FAIS Account number: 130930-112672
Please mention your name and "Networks99" on your bank transfer. Payment should be free of bank handling charges. |
Please sign this registration form.
.Date ____________ Signature ________________________