the registration form

Transcription

the registration form
The Third International Workshop on Artificial Neural Networks in Pattern Recognition
ANNPR 2008
An IAPR Workshop, July 2-4, 2008
Pierre & Marie Curie University,
Paris, France
website : http://www.c2s-organisation.com/ANNPR08
REGISTRATION FORM
Please print, complete in block letters, sign and return this form to:
Congrès Scientifiques Services (C2S)
Chantal Iannarelli
2 rue des Villarmains – 92210 SAINT CLOUD (France)
Fax : 33 1 47 71 90 04 - E-mail (attachment): [email protected]
A-
Prof. ‰
PARTICIPANT
Dr. ‰
Mr. ‰
Ms. ‰
First Name : ............................................... Last Name :.........................................................................................
Organisation : .........................................................................................................................................................
Dept/Laboratory : ....................................................................................................................................................
Mailing Address : ....................................................................................................................................................
.................................................................................................................................................................................
Zip/postal code : ………………City : …………………………..Country : …………………………..
Phone : .................................. Fax : ............................................ E-mail : ...........................................................
I PRESENT A PAPER
‰ YES
‰ NO
REGISTRATION FEES
‰
‰
‰
‰
Full IAPR Members
Full non members
Reduced Students*
Industrials
‰ Before
May 9, 2008
370 €
400 €
270 €
450 €
‰ After
May 9, 2008
450 €
480 €
350 €
550 €
(*) a copy of the student card will be requested
IAPR Membership number:
Registration fees include admission to the sessions, workshop proceedings, three lunches (July 2, 3 &
4), coffee breaks and social program (Seine river cruise, visit of the Musée d’Orsay and banquet).
B - ACCOMPAGYING PERSON(S) ‰ : 130 €
Registration fees for Accompanying Person include social program.
Mr. ‰ Ms. ‰
First Name : ……………..….Last Name : …………………………..
TOTAL : A (Participant) …….. € + B (Accompanying Persons) ……….€ = ……….. €
:
Check libelled in € : ANNPR 2008 / CONGRES C2S
Bank transfer in € to ANNPR2008/ CONGRES C2S
Bank : CREDIT AGRICOLE-CMDS - Agence de Melle - 3 Place R. Groussard - 79500 MELLE (F)
Code banque: 11706 – Code guichet : 00017 –Compte n° 5306832xxxx Clé RIB: xx
IBAN FR76 1170 6000 1753 0683 2702 027 SWIFT CODE :
SWIFT AGRIFRPP817
Credit Card: ‰ VISA
‰ MASTER CARD
‰ EURO CARD
I I I I I Security code I
Card number I I I I I I I I I I I I I I
Cardholder’s Name :. ........................................................ Expiration date I
I __ I I I
I undersigned, give the authorisation to C2S to charge my credit card for
the total above : ................................. Euros
I
I
I
Signature :
The Third International Workshop on Artificial Neural Networks in Pattern Recognition
ANNPR 2008
An IAPR Workshop, July 2-4, 2008
Pierre & Marie Curie University,
Paris, France
website : http://www.c2s-organisation.com/ANNPR08
ACCOMMODATION FORM
Please print and complete in block letters and return this form to:
Congrès Scientifiques Services (C2S)
ANNPR 2008 - Chantal Iannarelli
2 rue des Villarmains – 92210 SAINT CLOUD (France)
Fax : 33 1 47 71 90 04 - E-mail (attachment): [email protected]
A-
Prof. ‰
PARTICIPANT
Dr. ‰
Mr. ‰
Ms. ‰
First Name: ................................................. Last Name:.........................................................................................
Organisation: ..........................................................................................................................................................
Dept/Laboratory: .....................................................................................................................................................
Mailing Address: .....................................................................................................................................................
.................................................................................................................................................................................
Zip/postal code: .………………City: …………………………..Country : …………………………..
Phone: .................................... Fax: ............................................. E-mail: ...........................................................
HOTEL ACCOMMODATION IN PARIS (Please indicate your choice)
The prices are in EUROS per room, per night (breakfast and local taxes not included). Minimum one night
deposit required. This deposit will be deduced from your final bill. Full payment directly to the hotel.
HOTELS LOCATED IN:
ˆ Quartier Latin*
ˆ Montparnasse
Category
ˆ Single
A - **
80/ 90 €
B - **Superior
90/100 €
* Price’s can be more expensive
I reserve
ˆ Single
ˆ Near the Conference*
ˆ Double
90/100 €
100/125 €
ˆ Twin
95/110 €
110/130 €
ˆ Double (large bed)
Date of arrival: …./ 07/2008
ˆ Opera
ˆ No Preference
ˆ Deposit *
60 €
90 €
ˆ Twin (2 beds) HOTEL Category: ………..
Date of departure:... / 07/2008
Number of nights :
TOTAL = Deposit (1 Night) + 9 euros (reservation charge) =
Payment should be made by
Check libelled in € : ANNPR 2008 / CONGRES C2S
Credit Card: ‰ VISA
Card number I I I I I
‰ MASTER CARD
I I I I I
I I I I I
‰ EURO CARD
I I
I
I security code I I
Cardholder’s Name: ................................... Expiration date I
I II
I
I undersigned, give the authorisation to C2S to charge my credit
card for the total above : .............................Euros
I I
I
Signature :

Documents pareils