Please sign and send form by fax or swift mail to |
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Convention Bureau Genova - ETAPS 2001, v. Roma 11/3, 16121 Genova, Italy |
FAX: +39 010581408 (phone: +39 0105958494, email: cbgenova@tin.it) |
Mr _ /Mrs _ Title | __________________________ | First name | __________________________ |
Last name | __________________________ | __________________________ | |
Affiliation | _______________________________________________________________ | ||
Address | _______________________________________________________________ | ||
City | __________________________ | Zip code | __________________________ |
Country | _______________________________________________________________ | ||
Phone | __________________________ | Fax | __________________________ |
Date of Arrival | __________________________ | Departure | __________________________ |
___ I will bring my portable PC | ___ I am vegetarian (Y/N) | ||
Codice fiscale/Partita IVA (Italian only) _____________________________________________ |
____________ EUR | Registration fee | ||||
Industry: 450 EURO | Academia: 350 EURO | Student: 150 EUR |
____________   EUR |      Early Reg. Discount/Late Reg. Surcharge |
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____________   EUR |      Non-member Surcharge (25 EUR) |
     Member of EALPS __ EASST __ EATCS __ ACM __ |
Order of ETAPS proceedings:
No.  _____ copies of CC proceedings (30 EUR each) |
No.  _____ copies of ESOP proceedings (30 EUR each) |
No.  _____ copies of FASE proceedings (30 EUR each) |
No.  _____ copies of FOSSACS proceedings (30 EUR each) |
No.  _____ copies of TACAS proceedings (37 EUR each) |
____________ EUR |      Total Cost for Proceedings |
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The banquet for a conference participant is at reduced price. One can order extra tickets at full price
____________ EUR | Tickets for the conference banquet: |
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___ 1 for the participant at the price of 31 EUR | |
_____   extra tickets (52 EUR each) |
____________ EUR |      Total Cost for Registration at Conferences |
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There is a fee of 70 EUR for participants not registered to the ETAPS conferences.
___________ EUR      Fee for non-Etaps Participant (70 EUR)
A tutorial will be cancelled if the early registrations are below a certain number. Cancellation will be decided by March the 3rd. No charge will be made for registration to a tutorial that is cancelled. The fee of a satellite event at DISI covers only attendance to the event and material, such as proceedings.
Registration Fees
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____________   EUR |      Cost for Registration at Workshop and Tutorials |
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There is an extra fee of 40 EUR (for lunch and coffee breaks) for each day at DISI (31 March and 1,7,8 April)
____________   EUR      Extra fee for days spent at DISI (40 EUR each day)
Please indicate which days you will spend at DISI:
_____________________________________
There is a 10% discount on the fees above, if one registers before February the 10th. There is a 20% surcharge on the fees above, if one registers after March the 2nd.
____________   EUR |      Early Reg. Discount/ Late Reg. Surcharge |
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Attendance to workshop dinners is optional, and one has to order tickets in advance
____________  EUR      | Tickets for the workshop conference banquet: | |
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No.  ___   tickets for ws dinner 1 April | (40 EUR each) | |
No.  ___   tickets for CMCS dinner 6 April | (35 EUR each) | |
No.  ___   tickets for ws dinner of 7 April | (40 EUR each) |
____________   EUR     Total Cost of Registration to Satellite Events
Form of Payment
I authorize Convention Bureau Genova to charge _____________ EUR to | |
Credit Card | _______________________________________ |
Card number: | _______________________________________ |
Expiry date: | _______________________________________ |
Card Holder: | _______________________________________ |
Holder's Signature: | _______________________________________ |
DATE:__________ Participant's Signature: ______________________________________
In accordance with Law no. 675/96 any personal information in our possession will be used only for the purposes of the conference.