REGISTRATION FORM:
To be returned to:
Relations Extérieures
Bureau des Cours et Colloques
INRIA Rocquencourt
BP 105
78153 Le Chesnay Cedex (France)
Name: .......................................................................................First name: .................................................................................
Company: ....................................................................................
Address: ....................................................................................
.............................................................................................Zip code: .............. City: .......................... Country: ..........................
Phone: ....................... Fax: ....................... E-mail: .........................
Registration fees (20.6% VAT included) / Please mark the appropriate box and
fill in the total amount
3 days conference (dinner included) One-day conference (1) Special Student Rate (2) |
1 500 FF TTC [ ] 700 FF TTC [ ] 400 FF TTC [ ] |
Additional conference dinner for one-day registration, for the students or for accompanying
persons ............ person(s) x 350 FF TTC = |
............ FF TTC |
TOTAL | ............ FF TTC |
(1) Caution: the Tuesday conference dinner is not included.
(2) Caution: the book and the conference dinner are not included. Please, provide
a copy of your 1997 student id card.
Choice of conference day for one-day registration
Monday May 5 [ ]
Tuesday May 6 [ ]
Wednesday May 7 [ ]
Payment information
[ ] By order form
[ ] By check
[ ] By bank transfer
[ ] By credit card only on site.
Cancellation
Fees will be returned in full for any written cancellation before April
20, 1997. No refund will be made in respect of cancellation received after this date.
Train discount
Please send me a SNCF railway discount voucher (20% Paris/Tours round trip)
[ ].
Date & Signature: