12th European Simulation Multiconference
ELECTRONIC REPLY FORM
   
ELECTRONIC CONFERENCE 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.

ADVANCE REGISTRATION CLOSES May 5th, 1998. Thereafter, registrations will only be accepted at the conference, during published registration hours. At-conference registration fees are BF 2000 (35 GBP, ECU 50) higher than those shown in Section A below, for members of SCS, affiliate societies, and other participants.

PERSONAL DATA

Surname:
First Name:
Occupation and/or Title:
Affiliation:
Mailing Address: Tick one: HOME or BUSINESS
Zipcode:
City:
Country:
Telephone:
Fax:
E-mail:

A. Conference Registration. (Fill in 1/2/3/4/5 and 6/7 if necessary)

1. SCS Conference participant
BF 18.000 / GBP 315 / ECU 450
SCS member number:
2. Member of Sponsor or Affiliate Society
BF 18.000 / GBP 315 / ECU 450
Affiliation Society: Eurosim, JSST, CASS, CSSS, HSS, LSS, PSS, TSS
3. Non-Member participant
BF 20.000 / GBP 350 / ECU 500
4. Students who are not authors
BF 12.000 / GBP 210 / ECU 300
5. One Day Registration
BF 5.000 / GBP 85 / ECU 125
Includes 1 lunch, without a copy of the Proceedings
6. Group Registration
BF 50.000 / GBP 835 / ECU 1250
From 5 people onwards. BF 10.000 per extra person.
Includes only 2 copies of the Proceedings
Add bank charge if necessary
when paying by bank transfer or cheque
BF 400 / 7 GBP / ECU 10
TOTAL AMOUNT TO PAY (BF/GBP/ECU)


B. PAYMENT INFORMATION

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'98 (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

 


If e-mail fails, you can also print this information and send / fax it to:
The Society for Computer Simulation International,
European Simulation Office, University of Ghent,
Coupure Links 653, B-9000 Ghent, Belgium
Phone: +32-9-2337790, Fax: +32-9-2234941


Page created by SCS Europe Office and Alexander Verbraeck. Last update 03-02-2003.
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