REGISTRATION FORM

            12th Nordic Workshop on Programming Theory (NWPT 2000)

To register for the workshop, complete this form (PREFERABLY BY EMAIL) 
 and send as soon as possible and -- BEFORE 15TH SEPTEMBER 2000 --

To:  NWPT'00
     Magne Haveraaen
     Dept. of informatics
     University of Bergen
     PB 7800                          E-mail:  nwpt00@ii.uib.no
     N-5020 BERGEN                    Fax:     +47 55 58 41 99
     Norway
___________________________________________________________________________

Name:

Affiliation:

Full address:

E-mail:                               

Phone:                                Fax:

Please mark with X the relevant [ ]'s below:

[ ] I wish to participate without giving a presentation.
[ ] I wish to give a presentation and enclose a one-page abstract.
[ ] Abstract will be submitted later, tentative title for presentation:


[ ] Special equipment needed for the presentation (please specify):


Hotel reservation must be made directly by the participants. See
http://www.ii.uib.no/~nwpt00/hotels.html for information.

The participation fee is tentatively NOK 2000 and includes refreshments, 
lunches, conference dinner, and the workshop material. Payment options:
[ ] Credit Card:   [ ] VISA    [ ] AmEx    [ ] Diners    [ ] Eurocard
    Card number:      
    Expiration date:     
    Cardholders name: 
    Alternatively, credit card details may be submitted by fax
[ ] By bank/postal giro to account 8624.08.00998, NWPT-2000, Dept. of
    informatics, University of Bergen, PB 7800, N-5020 BERGEN
[ ] In cash upon arrival at the conference

The conference commences with lunch 1200-1400, Wednesday October 11th.
I will arrive in time for lunch: [ ] Yes      [ ] Probably       [ ] No

[ ] Special requirements or dietary restrictions, please specify:




SIGNED:  ___________________