REGISTRATION AND HOTEL RESERVATION FORM

PROLAMAT'2001 Conference
 

7-9 November 2001
Please complete and submit this form as soon as possible.


 Personal Data

 Family name  Given name
 Affiliation
 Address
 Town/City  Zip code &state
 Country  E-mail
 Phone  Fax
Registration Fees
Conference
 Early
before 30 September
 Late
after 30 September
  
Members of  IFIP, CIRP
EUR 475
 EUR 575
EUR
Non-members
EUR 550
EUR 650
EUR
Speakers
EUR 400
EUR 500
EUR
Students*
EUR 250
EUR 300
EUR

* students (copy of student card is required)
 
 
Optional Programmes
 Banquet (Optional)
EUR 40 / personperson(s)
  EUR
Total amount due
EUR 
 Hotel

A block reservation for participants has been made in hotel below.
Room rates include breakfast, taxes.
 
Check in date November,   check out date November
Hotel Agro***
Single room EUR 60/night
 
Double room EUR 75/night

Shared with:

General Conditions
One night room rate will be charged
- in case of non-attendance if a cancellation notice in writing is not received by the PROLAMAT'2001 Conference Secretariat on or before 15 October 2001
- in case of delayed arrival if the PROLAMAT'2001 Conference Secretariat is not advised on or before 31 October 2001
 
 Method of payment

Registration and hotel reservation will be confirmed by the Conference Secretariat only upon receipt of the credit card information or the proof of remittance.

1. Credit Card

I agree that you charge the above amount to the credit card given in the Credit Card InForm. 

2. Bank Transfer

Payments by bank transfer has been sent to the following account:

”PROLAMAT'2001” MTA-SZTAKI
Account No 10032000-01738588-00000000
Hungarian National Treasury
H-1139 Budapest, Vaci út 71
Hungary
SWIFT CODE: MANEHUHBA















Please send separately a proof of remittance to the Conference Secretariat.