ESS'99
October 26-28, 1999
ELECTRONIC REPLY FORM
(or use the fax/mail form)
ELECTRONIC REPLY FORM
Please note: This form does NOT work with Internet Explorer 3.02 or lower.
It does work fine with all versions of Netscape and later Versions of Internet Explorer
First Name:
Family Name:
Occupation and/or Title:
Affiliation:
Mailing Address:
Zipcode:
City:
Country:
Telephone:
Fax:
E-mail:

Yes, I will attend the 1999 ESS conference in Erlangen, Germany.

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

1. SCS Conference Member
EURO 425
SCS member number:
2. Member of Sponsor or Affiliate Society
EURO 425
Affiliation Society: Eurosim, JSST, CASS, CSSS, HSS, LSS, PSS, TSS
3. Non-Member participant
EURO 475
4. Late registration surcharge(after October 5)
EURO 50
5. Students who are not authors
EURO 225
6. One Day Registration
EURO 230
7. 1 Week Java Tutorial Registration
EURO 1280
8. 1 Day Object Orientation Tutorial Registration
EURO 245
9. 1 Day Virtual RealityTutorial Registration
EURO 245
10. 1/2 Day High Performance Simulation Tutorial Registration
EURO 160
11. 1/2 Day Field Programmable Devices Tutorial Registration
EURO 160
12. Extra Conference Dinner ticket
EURO 35
13. Subscription to "Simulation"
EURO 85
14. Add bank charge if necessary
when paying by bank transfer or cheque
EURO 10
TOTAL AMOUNT TO PAY - EURO

(Above registration fees include, TUTORIALS, one copy of the PROCEEDINGS-CD-Rom, all midday meals, cocktail, refreshments, coffees and social program, except for students where the Conference Proceedings are NOT INCLUDED.)


B. PAYMENT INFORMATION

I will make payment by BANK TRANSFER to account No. 290-0033837-05 SCS Europe BVBA, GENERALE BANK, Branch Office Ghent Centre, Kouter 8, B-9000 Ghent, Belgium MENTION YOUR NAME and ESS'99 (make a print of this form so you know what you submitted)
SWIFT CODE: GEN: GEB-ABEBB-05A
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. If this is a problem: fax the credit card information separately, or discuss the payment information with SCS Europe Office by phone or by 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

This page last modified 03-02-03 by Alexander Verbraeck, Delft University of Technology / SCS Europe