Registration Form

3rd Joint European Networking Conference Innsbruck, May 11-14, 1992 REGISTRATION FORM Only One Delegate Per Form (Please photocopy extra forms if required) Please complete and return to: Kongresshaus Innsbruck Rennweg 3 A-6020 Innsbruck Tel: +43 512 5936 151 Fax: +43 512 5936 7 email: pulzer@access.can.ac.at <C=at; A=ada; P=aconet; O=can; S=pulzer> * DELEGATE family name .......................... first name ..................... Mr/Mrs organization/company ........................................................... postal address: street ................................................. postal code, city ...................................... state/county ........................................... country ................................................ telephone: office ................................................ home ................................................ fax: ................................................ email: ................................................ Number of ACCOMPANYING PERSONS ........... HOTEL RESERVATION I require accommodation for ....... people as follows: ............ single room(s) ............. twin room(s) Arriving: May ....... Departing: May ....... No. of Nights ............... Hotel PREFERRED: Category (please mark one): O I O II O III O IV O V I would like to stay at the same hotel as Mr/Mrs ............................... I shall arrive by (please mark one): O plane O car O train O bus * ACONET Secretariat in Vienna.. PAYMENT ONE Registration Fee (ATS 5.000,- early/ATS 5.500,- late) ATS ............. ... Ticket(s) for Castle Tratzberg and Silvermine tour on May 12 (ATS 490,- p.p. including lunch) ATS ............. ... Ticket(s) for walk through the old city on May 13 (ATS 100,- p.p.) ATS ............. ... Ticket(s) for Gala Dinner at "Dogana" on May 13 (delegates free, accomp. persons ATS 600,- p.p.) ATS ................. .. Ticket(s) for Alpine Zoo on May 14 (ATS 130,- p.p.) ATS .............. ... Hotel Deposit (ATS 1.000,- p. room) ATS.............. =================== TOTAL (incl.0% VAT) ATS............... The amount will be paid by O Eurocheque in Austrian Schillings ("RARE CONFERENCE"), attached to the registration form O bank transfer in Austrian Schillings, with reference to: RARE CONFERENCE Tiroler Sparkasse Account No.: 1500-008451 Bank address: A-6020 Innsbruck, Altstadt Please ensure payment is net of all charges and attach a copy of your bank slip to assist us in matching this form with your payment. SIGNED: __________________________________ DATE: ________________________