LPNMR '97
On-line Registration


Home * Off-line Registration Form * Registration Address

Please fill out the following form and press the "Register" button when ready. To register off-line, download a text version of this form and send the completed form via fax, e-mail or conventional mail to the registration address. The early registration deadline is May 16, 1997 and the registration closes on July 5, 1997.

We have limited funds for colleagues from eastern Europe and students. Please contact Jürgen Dix <dix@informatik.uni-koblenz.de> as early as possible for details and application.

Personal Information

Family Name
First Name
Title
Affiliation & Address
E-mail, filling out this field is mandatory.
Telephone
Fax
Name of accompanying person(s)

Registration

Registration fees are to be paid in advance. The registration deadline is July 5, 1997.

Fees (DM) Regular Student
Before May 16, 1997 280 100
After May 16, 1997 350 170
Please tick one:
I register as a regular participant.

The registration fee includes the fees for the excursion and banquet for one person. Extra bookings can be done at the rate of DM 80 and are to be paid in advance together with the registration fee:

I register for extra person(s) for the excursion and banquet.

I register as a student participant.
  • Student participants have to send a student certificate to the organizing committee in advance.
  • The registration fee does not include the fees for the excursion and banquet. Excursion and banquet can be booked at the rate of DM 80 and to be paid in advance together with the registration fee:

    I register for person(s) for the excursion and banquet.

Room Reservation

Accommodation fees are to be paid during the conference (by cash/cheque/Eurocard/Mastercard/VISA).

Please reserve for me:
A single room (DM 135 per day, including meals).
A double room (DM 85 per person per day, including meals) to be shared with
Special dietary requirements:
Arrival date. Arrival on Sunday afternoon is strongly recommended.
Departure date

Payment Method

Please tick one of the diamonds to indicate the desired payment method.

By bank transfer in German currency (DM). In particular, German participants are requested to pay by this option. This is the bank account: 
    Bank:           Sparkasse Koblenz
    Bank Code:      570 501 20
    (Bankleitzahl)   

    Account Holder: Ulrich Furbach für LPNMR97
    Account:        150 410 272

All extra fees emerging from bank transfer must be covered by the applicant!

By cheque in German currency (DM), drawn on a German bank; please make cheques payable to "Ulrich Furbach, LPNMR97", indicate your name and send it to the registration address.

All extra fees emerging from cheque payment must be covered by the applicant!

By credit card. Please fill out this form:
Company
(sorry, no American Express):
Name on the card (if different from name given above)
Credit card number
To be given in FAX
Expiry date
To be given in FAX

For credit card payment you are asked to send a Fax to the organizing committee in order to authorize them to charge your account. A respective fax form to be completed by your credit card number and expiry date will be sent to you automatically by e-mail.

This is room for comments:

Please press this button to register now:

A copy of the generated registration mail will be sent to you automatically. In case you have opted for payment by credit card you will also receive an authorization mail to be filled out and faxed to the organizing committee.

For any administrative queries regarding registration or bookings please contact Ulrich Furbach at the Registration Address.

Back to the LPNMR home page.

Counter visitors since March 25, 1997.
Comments and Suggestions on this page are welcome!
Maintained by: Peter Baumgartner <peter@informatik.uni-koblenz.de>
$Author: lpnmr97 $ $Date: 1997/04/30 15:26:17 $