Please print, fill in and return via ordinary mail or fax to
Prof. Peter Clote
CSL 2000 - Registration
Institut für Informatik
Ludwig-Maximilians-Universitaet Muenchen
Oettingenstr. 67
D-80538 Muenchen
fax: +49-89-2178-2238
Registration for CSL 2000:
| Mr/Ms + Title | ____________________________________________________ |
| Surname | ____________________________________________________ |
| First Name | ____________________________________________________ |
| Affiliation | ____________________________________________________ |
| Address | |
| Street | _____________________________________________________ |
| Code, City | _____________________________________________________ |
| Country | _____________________________________________________ |
| _____________________________________________________ |
I will attend CSL 2000 and will pay
| ( ) | Early registration fee (before June 5th): DM 260 |
| ( ) | Early student registration fee (before June 5th): DM 180 |
| A copy of my certification of studentship will be | |
| ( ) presented at the conference, or | |
| ( ) sent by subsequent fax to: +49-89-2178-2238 | |
| ( ) | Late registration fee: 300 DM |
| ( ) | Late student registration fee: 260 DM |
| A copy of my certification of studentship will be | |
| ( ) presented at the conference, or | |
| ( ) sent by subsequent fax to: +49-89-2178-2238 |
Payment:
| ( ) | I have paid by bank transfer; a copy of my bank remittance follows by subsequent fax. |
| ( ) | I will pay on arrival at the conference by ( ) Eurocard/Mastercard, ( ) VISA card, ( ) Eurocheque, ( ) DM cash. |
Signature:_________________________