LMCS 2002 - Registration Form

Please consult the registration information page before filling this form in.

Your Information

Salutation	(e.g. Mr. Dr., Prof. etc.)
Forename	(e.g. John)
Surname	(e.g. Brown)
Affiliation	(e.g. University of Chicago)
Address
E-mail
Fax (optional)

Participation

I would like to take part in
Oct. 20th-22nd.
only Oct. 22nd.

I would like to take part at the banquet dinner on Oct. 22nd.

Payment

Please pay before you register. Details about the fee and the payment methods are available here.

Pay cash at the registration desk.
Also credit cards are available: American Express, Master Card, VISA Card.
I paid the conference fee by bank transfer.
Paid Date: (e.g. Sep. 25), 2002
I sent the credit card number by FAX.
Sent Date: (e.g. Sep. 25), 2002
Hotel Reservation

Payment should be made directly to the hotel, when checking out.
If you need to change your travel plans after the reservation is already made, please contact us immediately. In case of non-appearance, you can be charged for the costs involved.
I want the following hotel reservation.

no reservation needed

three-star hotel ( room)

four-star hotel ( room)

Date of arrival/departure: October / , 2002.

Additional Remarks

If you have some addtional remarks, please fill in here:

Contact

For technical support of this web form, please write to Koji Nakagawa (nakagawa@risc.uni-linz.ac.at).
For general questions about registration, please write to Betina Curtis (curtis@risc.uni-linz.ac.at).

[LMCS 2002 - Home]

	no reservation needed
	three-star hotel ( room)
	four-star hotel ( room)