FMOODS'96: RegistrationYou 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:
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 CommitteeI 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.
Page Created and Maintained by Arnaud Février.