11th European Simulation Multiconference, June 1-4, 1997. Dedeman Hotel, Istanbul
Hosted by: Bogazici University

ELECTRONIC REGISTRATION FORM
Please note: This form does NOT work with Internet Explorer 3.02 or lower.
It does work fine with all versions of Netscape. We will do testing with IE 4.0.

Surname:
First Name:
Occupation and/or Title:
Affiliation:
Mailing Address: Tick one: HOME or BUSINESS
Zipcode:
City:
Country:
Telephone:
Fax:
E-mail:
 
BASIC CONFERENCE REGISTRATION FEE.
Fill in one of the sections 1-6 and the associated questions
The registration fees include one copy of the PROCEEDINGS, all midday meals, cocktail, refreshments, coffees and social programme, except for students where the Conference Proceedings are NOT INCLUDED.
 
1. SCS or AFFILIATE MEMBERS
Please, tick all boxes that apply.
Member of:
SCS Eurosim CASS JSTT
CSSS HSS LSS PSS TSS
BF 16.000; $535; 433 ECU
2. AUTHOR of a conference paper
Paper number(s):
BF 16.000 $535; 433 ECU
3. Participant from TURKEY BF 8750; $ 250; 230 ECU
4. Student participation
for students the Conference Proceedings are NOT INCLUDED
BF 9.000; $ 300; 250 ECU
5. ONE DAY conference participation
Date you will attend the conference:
BF 6.000; $200; 160 ECU
6. If you fall in none of the above categories BF 18.000; $600; 487 ECU
 
OTHER FINANCIAL DATA
  VAT Number if applicable:  
  Extra Conference Dinner ticket for companion BF 1300; $43; 35 ECU
  ADD BANK CHARGE of BF 350 (9ECU) in case you pay by BANK or CHEQUE. BF 400; $13; 10 ECU
  TOTAL AMOUNT REMITTED (REQUIRED FIELD)  
 

PAYMENT METHOD. Please select one of the payment methods below.
 
I will make payment by BANK TRANSFER to account No. 290-0033837-05 SCS Europe BVBA, SOCIETE GENERALE DE BANQUE, Branch Office Ghent Centre, Kouter 6, B-9000 Ghent, Belgium MENTION YOUR NAME and ESM'97 (make a print of this form so you know what you submitted)
I will pay by CHEQUE and send it to SCS European Office, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium. (make a print of this form so you know what you submitted)
I will pay by CREDIT CARD but do not send the information with the form. Please phone me for the credit card information
I will pay by CREDIT CARD and fill in the information below. Please note: credit card information is NOT encrypted in the e-mail.
  Type of card
  Card no
  Cardholder name
  Exp.Date

DO NOT FORGET TO MAKE A PRINT OF THE FORM BEFORE YOU SUBMIT IT!


(c) SCS Europe, 1997. Authors: Ali Riza Kaylan, Alexander Verbraeck, SCS Europe Office. Last change: 03-02-03