NWPT'00 Registration Form

11-13 October 2000
Bergen, Norway



Last name:
First name:
Institution:
Address:
Country:
Email:
Phone:
Fax:
I'll give a talk: no    yes
Title:
Coauthors:
Abstract:
(LaTeX 2e or
plain text)
Kind:
I will have lunch on arrival:
(11/10, lunch ends approx. at 14:00)
yes     no     don't know
Accompanying person: no    yes
Dietary constraints:
(please, specify - if any)
Payment:
(2000NOK)
Credit card Bank Giro     on arrival
Kind:
Owner:
Number:
Expires:
I will fax this info instead: OK
(+47 55-58-41-99)
to: 8624.08.00998
NWPT-2000
University of Bergen
Deptartment of Informatics
P.Box 7800
5020 Bergen, Norway
 
(Please, bring the receipt with you to the registration desk.)
(Cash in NOK.)
 
 
 
 
 
 
 
Other comments:

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