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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 2. [ ]
Members of Sponsor or Affiliate Society 3. [ ]
Non-Member Participant 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 Add
Bank charge when paying by bank transfer or check TOTAL AMOUNT REMITTED BF/DM/ECU/ ________ MAIL
CONFERENCE REGISTRATION AND PAYMENT TO: 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: Authorizing Signature: PURCHASE ORDERS ARE NOT ACCEPTED UNLESS GUARANTEED BY A CREDIT CARD NUMBER. I WANT
TO ATTEND TUTORIAL (free of additional charge!) ESS´97 HOTEL RESERVATION FORM 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
___ single
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 |
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