12th EC-GI & GIS Workshop registration form

Important Legal Notice

Registration

* Title (Mr, Mrs, Ms, Dr, Prof.... )

* First Name

* (Family ) Surname

* Organisation/Company

* Street

* City

* Postal Code

* Country

Phone number

Fax number

* E-mail address

Comments

Social Events
Do you plan to attend the
Welcome Reception, 21 June 2006	Yes
Workshop Dinner, 22 June 2006 Included in registration fee. Tickets for accompanying persons are subject to availability and will be obtainable for â¬ 70,-- at the conference desk.	Yes

Registration Fee
Late Registration (After 14th May 2006)	200€
Student Registration (No Gala Dinner, student card proof)	90€

Method of Payment
We accept VISA and MASTERCARD.
Credit Card
Registration fee cancellation policy:
Registration will be confirmed upon receipt of credit card information. Note: Registration is restricted to 300 participants. Cancellations made between 1st June and 15th June are subjected to a 50% cancellation cost. No refund will be made for cancellations communicated after that date.