Registration Form

Mrs      Miss      Mr

Name First name

Address

             

Postal code      City

Country

Telephone Fax

e-mail

Organization/Institution

I propose: (max 2 communications)

Oral communication(s)
Displayed communication(s)
Demonstration(s) of software

Author(s)

Title 1

        

Section 1

Title 2

        

Section 2

Inscription
Others
Students
Romania
20€
10€
Republic of Moldavia
20€
10€
Other countries
100€
50€
 

          The fees will be sent to one of following accounts:

with the specifications: FOR SCIENTIFIC CONFERENCE (ICEC)

          A photocopy about transfer or a purchase order will be sent by fax to: +40 21 2116450

Accomodation

I reserve my acommodations during the Conference (15€/day to ASE or 40€ - 150€/day to hotel)

Day
Hostel(15€)
Hotel(40€ - 150€)
Other
First day
Second day
Third day

Meal

I reserve my meals during the Conference (15 € for 3 days to ASE or 75 € for 3 days to retaurant)

Day
ASE(5€)
Restaurant(25€)
Other
First day
Second day
Third day

The registration fees include/understand:
            - the participation in all the scientific sessions and demonstrations of software
            - the documents of the Conference
            - coffee break
            - official reception of the Conference

The different meals and the dinner are not included in the registration fees. A supplement could be required for certain activities.

Do you hope to take part in the dinner of official reception?     Yes No

Participation of one accompanying in the dinner by official reception: 30 €

Payment

       (inscription) € +

(acommodation) € +

                (meal) € =

     (Total grand) €

Herewith a cheque of with the command of the ICEC2004  
Herewith a photocopy about transfer  
Herewith a purchase order number
I wish an invoice in copy (copies)