REGISTRATION AND HOTEL RESERVATION FORM

IMS 2003 Workshop
6-8 April 2003, Budapest

Please complete this form and submit it as soon as possible.


Personal Data

Family name Given name
Affiliation
Address
Town/City Zip code &state
Country E-mail
Phone Fax

Registration Fees


Early
before 1 March
Late
after 1 March
Regular
EUR 350
 EUR 400
EUR
Student
(copy of student card is required)
EUR 220
EUR 260
EUR

Hotels

Room rates include breakfast, taxes.

Hotel Agro***
 Single room EUR 48/night

Double room EUR 64/night

Check in date April , check out date April

General Conditions
One night room rate will be charged
- in case of non-attendance if a cancellation notice in writing is not received by the IMS 2003 Workshop Secretariat on or before 15 March 2003
- in case of delayed arrival if the IMS 2003 Workshop Secretariat is not advised on or before 15 March 2003
Method of payment


Registration and hotel reservation will be confirmed by the
IMS 2003 Workshop Secretariat
only upon receipt of the credit card information or the proof of remittance.

1. Credit Card

I agree that you charge the above amount to the credit card given in the Credit Card InForm.

2. Bank Transfer

Payments by bank transfer has been sent to the following account:

Beneficiary's name:
 “IMS 2003” MTA SZTAKI
Account no.:
10032000-01738588
Bank name:
National Bank of Hungary
Bank address:
H-1580 Budapest
SWIFT Code:
MANEHUHBA

Please send separately a proof of remittance to the IMS 2003 Workshop Secretariat.