REGISTRATION FORM
LAST NAME : FIRST NAME : INSTITUTION : DEPARTMENT : STREET/PO Box : ZIP/CITY : COUNTRY : PHONE : FAX : email :
A - REGISTRATION FEES
A. Meeting Registration Fees FF net .2700,00 FF (Full Rate before May 5, 2000)3200,00 FF (Full Rate after May 5, 2000)1700,00 FF (Student Rate before May 5, 2000)2000,00 FF (Student Rate after May 5, 2000) B. Additional Proceedings FF net .400,00 FF (1 additional Proceeding)800,00 FF (2 additional Proceeding)1200,00 FF (3 additional Proceeding)1600,00 FF (4 additional Proceeding)2000,00 FF (5 additional Proceeding) C. MRS Bulletin FF net .300,00 FF (12 issues of MRS Bulletin) TOTAL REGISTRATION FEES FF net
A. REGISTRATION FEES FULL REGISTRATION FEES: .2700,00 FF - Before May 5, 20003200,00 FF - After May 5, 2000 STUDENT FEES: .1700,00 FF - Before May 5, 20002000,00 FF - After May 5, 2000 Students have to give evidence of University Registration with Registration Form. REGISTER AND PAY BY MAY 3, 2000 TO TAKE ADVANTAGE OF PRE-MEETING FEES ! REGISTRATION RECEIVED AFTER MAY 3, 2000 WILL BE CHARGED AT-MEETING RATES ! PLEASE CHARGE MY CREDIT CARD (ONLY FOR PAYMENT IN FRENCH FRANCS) CARTE BLEUE VISA MASTER/EUROCARD CARDNUMBER : VALID UNTIL : DATE : SIGNATURE : AMOUNT FF :
I ENCLOSE A CHEQUE (to the order of E-MRS) I ENCLOSE A COPY OF A BANK TRANSFER Bank: BANQUE POPULAIRE Address: BP 401/R1, F-67001 Strasbourg Cedex, France Account: ASS. EMRS CONFERENCES Nr. 17607/00001/111 913 85439/11 Bank transfer charges will be at a minimum cost, provided you instruct your bank as follows: Please pay through S.W.I.F.T. to BPRS FR 2A BANQUE POPULAIRE BP 401/R1 67001 Strasbourg Cedex France affiliable C.C.B.P. (Paris) I ENCLOSE A PURCHASE ORDER TO INVOICE MY INSTITUTION/COMPANY
B. PROCEEDINGS ORDER (see symposia titles)
ONE PROCEEDING IS FREE OF CHARGE FOR FULL RATE PAYMENT
SYMPOSIUM A SYMPOSIUM G SYMPOSIUM M SYMPOSIUM B SYMPOSIUM H SYMPOSIUM N SYMPOSIUM C SYMPOSIUM I SYMPOSIUM O SYMPOSIUM D SYMPOSIUM J SYMPOSIUM P SYMPOSIUM E SYMPOSIUM K SYMPOSIUM Q SYMPOSIUM F SYMPOSIUM L SYMPOSIUM R I WISH TO RECEIVE ADDITIONAL PROCEEDINGS (400 FF net per copy): Nr. of copies .123456789x .400,00 FF= FF net
C. MRS BULLETIN I WISH TO RECEIVE 12 ISSUES OF MRS BULLETIN: 300 FF net