IMS'99 Registration Form

   Name:................................................................

   Affiliation:.........................................................

   Full address:........................................................

   .....................................................................

   Country:.............................................................

   e-mail:..............................................................

   Telephone:........................................................... 

   Telefax:.............................................................


   For lunches etc.:   o  vegetarian      o  regular food


   Conference fee:
   Fees are given in Austrian shillings. Exchange rate on May. 20:
   1 USD = 12.93 ATS.

     o   early registration (deadline: AUGUST 1th)            5500 ATS  
     o   registration                                         6000 ATS

     o   student early registration (deadline: AUGUST 1th)    3500 ATS
     o   student registration                                 4000 ATS 
     

     o   number of banquet tickets, price per ticket         600 ATS


   Total costs:  ATS ...............


   Payment:
   Payment should be made in Austrian shillings. Please note that bank
   fees must be paid by the participant.

     o payment will be made by bank transfer into the following account:

              Raiffeisenbank Hagenberg-Pregarten
              BLZ (bank code): 34151 
              Account number: 680 000 25320
              Specify: "IMSConference1999" and name of participant

     o I add a bank cheque for the above total fee payable to the account

              "IMSConference1999"
              Raiffeisenbank Hagenberg-Pregarten
              BLZ (bank code): 34151 
              Account number: 680 000 25320

     o I hereby authorize the conference treasurer to charge my credit
       card for the amount mentioned in "Total costs".
       o American Express
       o Eurocard/Mastercard
       o Visa  

   Card holder's name: .................................................

   Credit card number:......................... Expiration date:........

   Special requests:....................................................

   .....................................................................

   .....................................................................

   .....................................................................

   Date:...........................  Signature:......................... 


   The completed form can be either mailed, faxed or emailed to:

          Mrs. Betina Curtis
          RISC
          Schloss Hagenberg
          A-4232 Hagenberg, Austria

          tel: +43 732 2468 9921
          fax: +43 732 2468 9930
          email: bcurtis@risc.uni-linz.ac.at