AMDO 2002 - Registration Form

AMDO 2002 - Register Form

Surname:
First Name:
Phone:
Fax:
Email:
Institution/Company:
Address:
ZIP/Postal Code:
City:
Country:

IAPR, AERFAI members	265 €
Non IAPR members	300 €
Students	175 €
Tutorial1	100 €
Tutorial2	100 €
Subtotal		€

HOTELS (*)	Isla Mallorca (3*)	Sol Bosque (3*)	Armadams (4*)
Double room:	201 €	252 €	279 €
Single room:	150 €	204 €	243 €

(*) Includes 3 nights at hotel, from November 20th-23th. Subjected to rooms avaibility.VAT and breakfast included.

TOTAL

€

PAYMENT BY BANK TRANSFER TO:

		AMDO 2002 Workshop
Name of the Savings Bank:		Banco de credito Balear
Account No:		0024 - 6849 - 55 - 0600231963 "Viatges Castell de Bellver S.A."
Address:		Plz. Gomila, 5 07015 Palma de Mallorca. SPAIN

A copy of the receipt of the bank remittance should be attached to the Registration Form

Send a copy by mail or fax of the Registration Form to the Conference Secretariat:

Prof. F. J. Perales (AMDO2002)
Dept. of Mathematics and Computer Science
Universitat de les Illes Balears
Ctra. de Valldemossa, km. 7.5
07071 Palma de Mallorca. Spain
fax: +34 971 173003

An acknowledgement of receipt will be sent to each registrant after his/her Registration Form and fee are received.