FMPA2k online registration form

Registration is closed.
Please use this form to register online for the

Euro Summerschool on FORMAL METHODS AND PERFORMANCE ANALYSIS.

Alternatively, you may use this form to send your registration by mail, fax, or email to:
Ms. J. Lammerink
Euro Summerschool FMPA 2000
University of Twente
Faculty of Computer Science
P.O. Box 217
7500 AE Enschede
The Netherlands
Tel. +31 53 4893767
Fax. +31 53 4893247
Email fmpa2k@cs.utwente.nl

Registration is closed.
Name:
First: Middle Initial: Last:

Age:

Phone Numbers (country,area):
Country code: + Area code:
Phone: Fax:

Email:

Affiliation:
Institute:
Street:
City:
Zip Code:
State:
(EU associated states are: Bulgaria, Cyprus, Czech Republic, Estonia, Hungary, Iceland, Israel, Latvia, Liechtenstein, Lithuania, Norway, Poland, Romania, Slovenia, Slovakia, Switzerland)
Personal Classification:
Graduate Student
Phd Student
Post Doc
(Assistant/Associate) Professor
Industry
Other

Dietary requirements:

Additional remarks:

Hotel and living expenses:
During the school, you have the following options for hotel and living expenses:
For the sunday night prior to the school you have the following options:
Other kinds of arrangements should be made directly with the hotel (see here for the address).
Note that all hotel and living expenses are payable directly to the hotel.

Participation fee:
The participation fee (185 Euro) is due by May 1, 2000. Please specify a payment method.

by credit card (please send credit card details by fax to +31 53 489 3247 or by mail to the above address)
Credit card type:___________________________________
Cardholders name:___________________________________
Cardholders address:___________________________________
___________________________________
Card number:___________________________________
Expiration date:___________________________________
by bank transfer to
ABN AMRO BANK
Account 40 53 43 663 of
University of Twente, Faculteit Informatica, P.O. Box 217, 7500 AE Enschede, The Netherlands
SWIFT code: ABNA NL 2A
Reference: FMPA - OFI 501.58306

Cancellation:
Cancellation by mail or fax is possible until June 19, and is subject to a cancellation fee of 75 Euro.
After this date, no refund will be given, neither by the organizers, nor by the hotel.

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