REGISTRATION Form

CBMI '99

Toulouse, October 25 - 27 1999

to be returned to:
CBMI 99
IRIT / UPS
118, route de Narbonne
31062 TOULOUSE CEDEX 4
Fax : (+33) 5 61 55 62 58
cbmi99@irit.fr

Last name: 

First name:

Affiliation:

Address: 

Zip code and city:

Country:

Phone :

Fax:

Email: 


Registration fees (20,6% VAT included)
Please mark the appropriate box.

 

Before September 25, 1999

After September 25, 1999

Normal rate

                  1 700,00 FF

                  1 900,00 FF

Student rate

                  1 400,00 FF

                  1 600,00 FF

Registration fees will cover:

 


For CBMI99 Authors

Note that every paper requires at least registration of one author.

I will present the following paper :

Title :

Authors :

I am interested in my paper being considered for selection to the Multimedia Tools and Applications journal (write YES if you are, default is NO) : _______________________


Special requirements
For participants who have special requirements with respect to diet or other matter, please indicate it, arrangements can be mabe.
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Payment information (check one of these items)
Before deadline rate will be applied to all registrations received by the workshop secretariat before September 25, 1999.

By order form. Purchase orders should be enclosed with the printed copy of the registration form.

By check. Check should be enclosed with the printed copy of the registration form and they should be made payable to the "Agent Comptable de l'université Paul Sabatier" in French currency.


Cancellation
Fees will be returned in full for any written cancellation before October 1st, 1999. No refund will be made in respect of cancellation received after this date.


Contacts
Mail: cbmi99@irit.fr
Phone: (+33) 5 61 55 63 05
Fax: (+33) 5 61 55 62 58