Registration Form for ENUMATH 2007

REGISTRATION FORM

Please complete this form and send it by email to enumath07@uni-graz.at.

DELEGATE INFORMATION

Title:
Prof. Dr. PhD student Mrs. Mr.

Last Name:

First Name:

Organization/Affiliation/Company:

Address:

Zip Code:	City:	Country:

E-mail address:
for electronic confirmation

Phone: including country and area codes	Fax: including country and area codes

REGISTRATION AND FEES (Please mark the appropriate box)

Fees cover (for all participants): Conference attendance, proceedings (volume by Springer), coffee breaks, local transportation, lunches on Thursday and Friday in the two cafeterias next to the lecture halls and reception. If you wish to bring additional accompanying guest to the excursion, please fill in the Excursion box appropriately.

Fees:

Normal Rate: 260 € received by bank transfer before June 30, 2007	€
Credit Card Rate: 270 € received before June 30, 2007	€
Late Registration: 290 € received by bank transfer after July 1, 2007	€
Late Credit Card Rate: 300 € received by after July 1, 2007	€
Excursion: participants
Granted Student Rate: 40 € (*)	€

(*) Rate applies only with consent of organizers, see Registration Fees.

Total Amount of Registration Fees

€

COMMENTS: