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Registration Form |
Conference Delegate: |
first name:
family name:
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Affiliation: |
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Mailing address: |
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Contact: |
email address:
phone/fax:
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Accompanying Person(s): |
Name:
age: |
(not participating in the |
Name:
age: |
scientific program) |
Name:
age: |
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Registration Fees: |
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Conference
delegates: |
The following fees include the welcome reception, the conference dinner and the excursion. The fees for the conference delegates also include admission to all presentations and workshops.
by 15 March € 185 (approx. US$ 160)
by 30 May: € 215 (approx. US$ 185)
from 1 June: € 245 (approx. US$ 210) |
Registration for accompanying person(s): |
by 15 March: € 89 (approx. US$ 76)
by 30 May: € 109 (approx. US$94)
from 1 June: € 129 (approx. US$ 111) |
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Excursion
Participation: |
I and the person(s) accompanying me intend to participate in the following excursion on Thursday afternoon: Burgenland, Vienna or Wachau
1st choice: |
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2nd choice: |
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Cost included in the conference fee.
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Conference Dinner: |
I and the person(s) accompanying me need vegetarian dinners.
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Payment: |
I pay the total of € (registration fees for all participating persons) by the following method:
(In case you do a money transfer or send a cheque, please make sure that it is free of charge for the recipient.)
I transfer the designated amount to the Austrian bank account nummber 5230404 at "Raiffeisenbank Hagenberg, Raiffeisenplatz 1, A-4232 Hagenberg" (bank nummber 34460, SWIFT Code RZ00AT2L460)
I send a cheque to the following address, made payable to "ACDCA, VISIT-ME-2002": "VISIT-ME-2002, ACDCA, c/o B Kutzler, Hasnerstraße 9/10, A-4020 Linz, Austria"
I pay by credit card (check or circle):
MASTERCARD
VISA
Credit card number: expiration date:
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© 2001
ACDCA - Austrian Center for Didactics of Computer Algebra
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