fmoodsFMOODS'96: Registration

You can choose to register for either FMOODS'96 or IWQOS'96 or for both events.

The FMOODS'96 registration includes the following:

The IWQOS'96 registration includes the following:

The FMOODS'96/IWQOS'96 registration includes the following:


Registration Form

Please return this form to FMOODS'96 Organization Committee by E-mail as soon as possible AND confirm:

by fax to: +33 (1) 45 89 16 64 Att. FMOODS'96 Organization Committee

or Mail to:

FMOODS'96 / IWQOS'96 Organization Committee
Departement Reseaux
ENST
46, Rue Barrault
75634 - PARIS CEDEX 13
France

I hereby register for (please check one):


   FMOODS'96 only                [ ]
   IWQOS'96  only                [ ]
   Both FMOODS'96 and IWQOS'96   [ ]

Title (please check as appropriate) :

[ ] Mr.    [ ] Mrs.   [ ] Prof.    [ ] Dr.    [ ] Other: 

First Name:

Last/Family Name:

Affiliation:

Mailing Address: 
 
Daytime Phone Number:

Fax Number:

E-mail address:  


Dietary Restrictions:  
   Vegetarian (Y/N)
   Others (specify):

Registration Fees (Tax included), please check appropriate fee:

                                  Advance             Late 
                              (until Feb. 22)   (after Feb.22)

Regular   FMOODS'96 only        [ ] FF 2250      [ ] FF 2600
Student*  FMOODS'96 only        [ ] FF  950      [ ] FF 1050

Regular   IWQOS'96 only         [ ] FF 1000      [ ] FF 1200
Student*  IWQOS'96 only         [ ] FF  300      [ ] FF  400

Regular   FMOODS'96 & IWQOS'96  [ ] FF 2800      [ ] FF 3200
Student*  FMOODS'96 & IWQOS'96  [ ] FF 1200      [ ] FF 1300

Extra FMOODS'96 proceedings     [ ] FF 350
Extra IWQOS'96 proceedings      [ ] FF 200

Extra dinner ticket (5th March) [ ] FF 400
(for accompanying persons)

(*) Students are requested to present their student ID at the time 
    of their registration.

Amount due:

A. Registration Amount:                              FF ________
B. Extra dinner tickets (5 March): number __  Amount FF ________
C. Extra FMOODS'96 proceedings:    number __  Amount FF ________ 
D. Extra IWQOS'96 proceedings:     number __  Amount FF ________  

   Total Enclosed/Transfered:                        FF ________


Methods of Payment Accepted:
                                              
[ ] International Bank Transfer in French currency to:

    Account Name: Association des Thesards de l'ENST
    Account No.:  56955146001
    Bank Name:    Credit Agricole - CRCA Paris Tolbiac
    Bank Code:    18206        Guichet: 00217
    Bank address: 207 Rue Tolbiac - 75013 - Paris, France 

    It must clearly state  FMOODS'96  / IWQoS'96  and  the 
    participant's name and company (copy of the remittance 
    slip enclosed).


[ ] Credit cards: International Visa, EuroCard or MasterCard
    (on-site only) 

[ ] Cash (on-site)

[ ] Check (must accompany registration form)

    Payable to: Association des Thesards de l'ENST

    (Please add FF 80 handling fee for foreign checks)               
              
 
Date: ______________________

Signature: ______________________    

Please note: All money transfers must be free of charge for the recipient. Your registration will be confirmed.

Refund Policy: No refunds will be made unless a written request for cancellation received prior to February 26, 1996. All refunds are subject to a 10% processing fee. Substitutions will be accepted at any moment.


Bureau des ThésardsPage Created and Maintained by Arnaud Février.