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: ___________________