1997 EUROPEAN SIMULATION SYMPOSIUM (ESS'97)
ADVANCE REGISTRATION FORM
19-22 October, 1997
Send or fax this part of the form direct to SCS in Belgium

ADVANCE REGISTRATION CLOSES October 5th, 1997. Thereafter, registrations will only be accepted at the conference, during published registration hours. At-conference registration fees are BF 2000 (DM 100, 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 16.000 DM 800 ECU 433: _________

Member Number:_____________________________

2. [ ] Members of Sponsor or Affiliate Society
BF 16.000 DM 800 ECU 433: ________
Circle your affiliation
EUROSIM JSST CASS CSSS HSS LSS PSS TSS

3. [ ] Non-Member Participant
BF 18.000 DM 900 ECU 487: ________

4. [ ] Students, who are not authors but who wish to attend the conference pay: BF 9.000 DM 450 ECU 235: ________

(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.)

5. [ ] One Day Registration or Tutorial only (without Conference Proceedings and social event) BF 6000 DM 300 ECU 160_______

6. [ ] Conference Dinner Ticket for Companion
BF 1300 DM 65 ECU 35 _______

Add Bank charge when paying by bank transfer or check
BF400 DM 20 ECU 10 _______

TOTAL AMOUNT REMITTED BF/DM/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: ESS'97, 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.

I WANT TO ATTEND TUTORIAL (free of additional charge!)
[ ] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5


ESS97 HOTEL RESERVATION FORM
OCTOBER 19-22, 1997

In order to ensure your reservation, a 1 night payment guarantee is required. (BEFORE OCTOBER 5th)

Please reserve hereby for: __________________________

________________________________________________

________________________________________________

Tel: ___________________ Fax:_____________________

Indicate your hotel

__ Holiday Inn
Bahnhofstrasse 24A
D-94032 Passau
140/110
__ Hotel Weisser Hase
Ludwigstrasse 23
D-94032 Passau
140/90
__ Hotel Wilder Mann
Am Rathausplatz
D-94032 Passau
134/67
(breakfast incl.)

___ single room(s) for ___ nights
___ double room(s) for ___ nights

Date of Arrival: ___/___ Date of Departure: ___/___

Approximate arrival time: _________

Charge my (tick one) [ ] Visa [ ] Euro/Mastercard [ ] American Express

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

Authorizing Signature:

Send or fax this part of the form direct to the hotel you choose


Page created by SCS Europe Office and Alexander Verbraeck. Last update 03-02-2003.
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