EUROMECH 406

 EUROPEAN MECHANICS SOCIETY Colloquium

IMAGE PROCESSING METHODS in APPLIED MECHANICS, May 6-8, 1999, Warsaw

Tomasz A. Kowalewski, Witold Kosiñski (IPPT PAN & TPO Warszawa), Jürgen Kompenhans, DLR Göttingen

 

 

REGISTRATION AND ROOM RESERVATION FORM

 

Name: ................................ Surname: ..........................................

Affiliation: ...........................................................................................

Address: ...........................................................................................

Fax: ..................................... Phone: ......................

E-mail: ...........................................................................................

Number of accompanying persons ..............................................................

Arrival date: .............................. Departure date: ...............................

 

  

Full Conference Fee
includes 3 nights 5/6, 6/7 & 7/8 May accommodation at the conference site, conference materials, refreshments and lunches

PLN 1450.00

  
  

Reduced Conference Fee
as above but for Euromech Society Members only

PLN 1300.00

  
  

Accompanying Person(s):
3 nights accommodation in extra room, lunches

PLN 900.00

  
  

3 nights for extra person in double bed room, lunches

PLN 600.00

  
  

Student's fee
conference materials and refreshments only

PLN 300.00

  
  

Late Registration extra charge
(paid after 15.04.1999)

PLN 150.00

  
  

Please reserve for me extra nights:        ..........................        single-bed / double-bed / apartment
(approx. price is 180/220/270 PLN per night).
Pre-payment included / I will pay after arrival.

     

TOTAL PLN

  
1 EURO = approx. 4.3 PLN (Polish Zloty)

 

X

Please make for me the above reservations.
 

I will pay amount of ................................................. (incl. Late Registration) after my arrival.

 

I transferred amount of ... .................. through Bank .................................. on

 

Herein I enclose a cheque payable to "TPO, Euromech 406, Warszawa", for amount of: ..........................

 

 

My Euromech Membership No: ....................................... member since:

 

Date:............................................

Signature:............................................

Our Bank details:
TPO, Swietokrzyska 21, PL 00-049 Warszawa,
Bank PKO BP X Od. Wwa, PL 00-950 Warszawa,
Account no: 10201101-551179-270-1-4, note: "Euromech 406 fee for: Your Name".

Please return completed and signed booking form as soon as possible to:
Elzbieta Rybakiewicz
EUROMECH 406 Secretariat
IPPT PAN,
Swietokrzyska 21,
PL 00-049 Warszawa, Poland
Fax: +48-22-8269815

WE CANNOT GUARANTEE ACCOMODATION IF RETURNED AFTER 15.04.1999
Get here the Registration Form (PostScript file)