12th European Simulation Multiconference
REPLY FORM
Send or fax this part of the form direct to SCS in Belgium. Fax number: +32-9-2234941

ADVANCE REGISTRATION CLOSES May 5^th, 1998. Thereafter, registrations will only be accepted at the conference, during published registration hours. At-conference registration fees are BF 2000 (GBP 35, ECU 50) higher than those shown in Section 1 below, for members of SCS, affiliate societies, and other participants. Please legibly print or type and fill out completely

LAST NAME:

FIRST NAME:

COMPANY/AFFILIATION:

MAILING ADDRESS HOME [ ] or BUSINESS [ ]

ADDRESS:

ZIPCODE AND CITY:

COUNTRY:

TELEPHONE, FAX:

E-MAIL:

A.CONFERENCE REGISTRATION (Check appropriate boxes)

1. [ ] SCS Conference Participant
BF 18.000 / GBP 315 / ECU 450: _________
Member Number:_____________________________

2. [ ] Members of Sponsor or Affiliate Society
BF 18.000 / GBP 315 / ECU 450: ________
Circle your affiliation
EUROSIM JSST CASS CSSS HSS LSS PSS TSS

3. [ ] Non-Member Participant
BF 20.000 / GBP 350 / ECU 500: ________

4. [ ] Students, who are not authors but who wish to attend the conference pay: BF 10.000 / GBP 175 / ECU 250: ________

5. [ ] One Day Registration
BF 5.000 / GBP 85 / ECU 125
Includes 1 lunch, without a copy of the Proceedings: ________

6. [ ] Group Registration
BF 50.000 / GBP 835 / ECU 1250
From 5 people onwards. BF 10.000 per extra person.
Includes only 2 copies of the Proceedings
Number of persons (5 of more) : ________
Total charge (BF 10.000 p.p.) : ________

(Above registration fees include, TUTORIALS, one copy of the PROCEEDINGS-CD-Rom, all midday meals, cocktail, refreshments, coffees and social program, except for students where the Conference Proceedings are NOT INCLUDED.)

Add Bank charge when paying by bank transfer or check
BF400 / GBP 7 / ECU 10 _______

TOTAL AMOUNT REMITTED BF / GBP / ECU ________

MAIL CONFERENCE REGISTRATION AND PAYMENT TO:
SCS EUROPE BVBA, SOCIETY FOR COMPUTER SIMULATION INTERNATIONAL, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium.

OR MAIL REGISTRATION TO ABOVE MENTIONED ADDRESS AND PAY DIRECT:

by BANK TRANSFER to account nr. No.290-0033837-05 SCS Europe BVBA, "SOCIETE GENERALE DE BANQUE, Branch Office GHENT CENTER, Kouter B-9000 GHENT-BELGIUM (mention: ESM'98, YOUR NAME).

by CHEQUE and send it to SCS Europe BVBA, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium.

Or pay by CREDITCARD:
Charge my (tick one)
[ ] Visa [ ] Euro/Mastercard [ ] American Express [ ] Diners

CARD NO. _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _ / EXP.DATE: _ _ / _ _

Authorizing Signature:

PURCHASE ORDERS ARE NOT ACCEPTED UNLESS GUARANTEED BY A CREDIT CARD NUMBER.