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

MAIL / FAX REGISTRATION FORM
Please legibly print or type and fill out completely.

LAST NAME
 
FIRST NAME
 
OCCUPATION / TITLE:
COMPANY / AFFILIATION
 
Mailing address (tick one): [ ] HOME [ ] BUSINESS
ADDRESS
 
CITY
 
ZIPCODE
 
COUNTRY
 
TELEPHONE
 
FAX
 
E-MAIL
DATE
 
SIGNATURE
 
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:   _________

[ ] 1)

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
[ ] 2) Or pay by CHEQUE and send it to SCS European Office, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium.
[ ] 3) Or pay by CREDIT CARD and fill in the information below:
  Charge my (tick one): [ ]Visa [ ] Euro/Mastercard [ ] American Express [ ]Diners

CARD NO: __ __ __ __ : __ __ __ __ : __ __ __ __ : __ __ __ __ EXP.DATE: __ __ / __ __

  Authorizing Signature:
  

PURCHASE ORDERS ARE NOT ACCEPTED UNLESS GUARANTEED BY A CREDIT CARD NUMBER.

MAIL REGISTRATION FORM AND PAYMENT FORM COPY (1) / CHEQUE (2) / CREDITCARD INFO (3) TO: SCS European Office, European Simulation Office, University of Ghent, Coupure Links 653, B-9000, Ghent, Belgium.


FOR OFFICE USE ONLY:

Paper Code:
Number of Pages:
Date entered on Registration File:
Status Entered:
Reg Memo:
AF Memo:

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