SISPAD 2004
September 2-4, 2004, Munich, Germany
SISPAD 2004 Registration Form
Registration fee:
Before July 31
530 EUR
After July 31
580 EUR
Number of additional dinner guest(s):
55 EUR/guest
Number of extra copies of proceedings:
50 EUR/each
Guided tour to Nymphenburg Castle:
10 EUR/person
Workshop on Sept. 5:
100 EUR
I will pay a total of
EUR
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Last Name:
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First Name:
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Affiliation:
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Address1:
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Address2:
City/State/Zip:
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Country:
Phone:
Fax:
Email:
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Form of payment
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Please check below which of the following two payments (bank transfer or credit card) you will use for registration.
Credit Card (Visa/MasterCard/AmEx only)
Cardholder name:
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Credit Card No.:
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Expiration date:
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Security code:**
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Obligatory for credit card
** Visa and Mastercard users only: To find your security code, flip your card over and look at the signature box. You should see either the entire 16-digit credit card number or just the last four digits followed by a sepcial 3-digit code. This 3-digit code is the security code.
Bank Transfer
Please state the participant's name, address and the Ref "SISPAD04" making payment to the following account:
SISPAD 2004
Bank: Postbank München
BLZ: 700 100 80
Account Number: 980461-805
IBAN: DE61 7001 0080 0980 4618 05
SWIFT-Code:PBNKDEFF
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All transfer charges are to be paid by the remitter.
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I send a copy of the transfer order to the Conference Secretariat.
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Payment by bank transfer can be made no later than by August 12.
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Obligatory
