REGISTRATION FORM

NETWORKS '99

August 9 -10, 1999

Espoo, FINLAND

Please return this form by July 15, 1999 to:

susanna.koskinen@hennax.inet.fi

or FAX +358 9 5617 0033

One participant per registration form. Kindly type or use capital letters.

First name

Surname

Title

Position

Institution/corporation

Department

Street address

Postal code and city

State/country

Phone (incl. country/area code)

Fax (incl. country/area code)

Email:

Registration fee

code

price/person

Registration fee before 15th July, 1999, Non-IJCAI '99 participants

R1

FIM 1000/EUR 170

Registration fee before 15th July, 1999, IJCAI '99 participants

IR1

FIM 500 /EUR 85

Registration fee undergraduate students (not incl. conference dinner)

SR1

FIM 200/EUR 35

Social programme

Monday Aug. 9

Welcome Reception, VTT Electronics

incl. in reg. fee

Tuesday Aug.10 1999

Conference dinner

incl. in reg. fee

Conference dinner for the accompanying person

FIM 300

TOTAL IN FIM/EUR

/

Method of payment. Registration fee should be paid in advance.

Credit card:

o Visa
o Eurocard/Mastercard
o American Express

 

Name of card holder ________________________________

Expiry date (mm/yy) ____/____

Amount to be charged in FIM/EUR ________

Date ______________________

Signature _________________________

Bank transfer.

Bank: Merita Bank

Espoo-Otaniemi

STES/FAIS Account number:

130930-112672

Please mention your name and "Networks99" on your bank transfer.

Payment should be free of bank handling charges.

Please sign this registration form. .

 

Date ____________ Signature ________________________