ESS'98 REGISTRATION FORM - SHORT PAPER
October 26-28, 1998

Please return this completed form with your manuscript

Author Registration Closes September 15, 1998. For a paper to be printed in the Conference Proceedings, we must receive the copyright form(s) and paid registration for at least one author of each paper by that date. Each registration covers only one paper

Author registrations will not be refunded, but may be transferred to a designee who will present the paper at the Conference. At-Conference registration fees are considerably higher than those shown in Section A.

Please legibly print or type and fill out completely.

NAME
 
LAST
 
FIRST
 
M.I.
 
COMPANY OR AFFILIATION
 
Mailing address (tick one): [ ] HOME [ ] BUSINESS
STREET
 
CITY
 
ZIPCODE
 
COUNTRY
 
TELEPHONE
 
FAX
 
EMAIL
DATE
 
SIGNATURE
 
A. AUTHOR REGISTRATION
1. BASIC REGISTRATION FEE.
Please, tick all boxes that apply: [ ] Author or presenter of a paper [ ] Chairman [ ] Speaker [ ] Panelist [ ] Session/Discussion Leader
[ ] BF 17.000
[ ] £ 285
[ ] ECU 425
2. If your registration is AFTER 15th of September: ADDITIONAL FEE
(Fees include all lunches, coffees, conference dinner and conference proceedings)
[ ] BF 2.000
[ ]
£ 35
[ ] ECU 50
B. Excess page fee
BF 2.500 /
£ 40 / ECU 62 for each page over 3 pages
BF/£/ECU __________
C. Copying fee
BF 50 (ECU 1,
£ 1) per copy page (if 4 copies are not included with paper)
BF/£/ECU __________
  VAT Number if applicable:
  TOTAL AMOUNT DUE BF/£/ECU ___________
  ADD BANK CHARGE of BF 400 (10 ECU / 7 BP) in case you pay by BANK or CHEQUE. BF/£/ECU ___________
  TOTAL AMOUNT REMITTED BF/£/ECU ___________
[ ] 1) Make payment by BANK TRANSFER to account No. 290-0033837-05 SCS Europe BVBA, SOCIETE GENERALE DE BANQUE, Branch Office Ghent Centre, Kouter 6, B-9000 Ghent, Belgium MENTION YOUR NAME and ESS'98
[ ] 2) Or pay by CHEQUE and send it to Philippe Geril, SCS European Office, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium.
[ ] 3) Or pay by CREDIT CARD and fill in the information below:
  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.

MAIL REGISTRATION FORM AND PAYMENT FORM COPY (1) / CHEQUE (2) / CREDITCARD INFO (3) TO: SCS European Office, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium.


FOR OFFICE USE ONLY:

Paper Code:
Number of Pages:
Date entered on Registration File:
Status Entered:
Reg Memo:
AF Memo: