Registration Information FMOODS 2002

Formal Methods for Open Object-Based Distributed Systems
University of Twente, Enschede, the Netherlands
20-22 March 2002
www.fmoods.org

Please fill this form and return it. Early registration ends at February 20, 2002.

By email to
- fmoods@cs.utwente.nl, header: FMOODS registration
Or by fax to:
- FMOODS 2002, attn: Joke Lammerink
  Fax: +31 (0)53 489 3247
Or by postal service to:
- FMOODS 2002, attn: Joke Lammerink,
  University of Twente, Faculty of Informatics
  P.O.Box 217, NL-7500 AE, Enschede

Registration Form FMOODS 2002

Name:	_________________________________________________
Affiliation	_________________________________________________
Address:	_________________________________________________
City/State/Zip:	_________________________________________________
Country:	_________________________________________________
Telephone:	_________________________________________________
Fax:	_________________________________________________
Email:	_________________________________________________

Dietary restrictions:

[ ] vegetarian
[ ] other: _________________________________________________

Registration fee

The regular registration fee entitles you to: reception, lunch, coffee and tea breaks, conference dinner, and a copy of the conference proceedings. The student registration fee entitles you to all except the conference dinner. Please

tick the appropriate box for the category (regular or student) and the time of registration (early or late)
fill in the total amount on the line below
tick the appropriate box for the method of payment
provide auxiliary information where necessary
mail, fax or post the form as described above

Regular Student

Early (by February 20) E 300 [ ] E 150 [ ]

Late (after February 20) E 350 [ ] E 200 [ ]

Total Payment E _________

(A student is a person who is enrolled as such at an established educational institute. If you want to register as a student, please send proof of your enrollment with your registration form.)

Method of payment:

[ ] Credit Card: please provide the following information

Type of card: _______

Card registered to: ______________________________

Card number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Expiry date: _ _ / _ _

Your name or signature: ______________________________

[ ] Bank Transfer: please transfer the required amount, indicating your name and "FMOODS", to

ABN-AMRO
International SWIFT-code: ABNA-NL2A
Account no: 405343663
Recipient: University of Twente, Faculteit der Informatica, Enschede

[ ] Cash payment at the registration desk

Your registration will be confirmed by email.

	Regular		Student
Early (by February 20)	E 300	[ ]	E 150	[ ]
Late (after February 20)	E 350	[ ]	E 200	[ ]

Type of card:	_______
Card registered to:	______________________________
Card number:	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Expiry date:	_ _ / _ _
Your name or signature:	______________________________