NIS´98
Registration
Form

October 6 - 9, 1998

La Casona (San Rafael), Segovia, Spain


Full name:

Title (Dr, Ph D student, Other):

Institution:

Address:


Address (cont.):

Postal Code:

City:

Country:

e-mail address:

FAX:

Conference Fees for Early Registration (before July 15th):

Conference package for participants (single room)56.000 ptas.
Accompanying persons (shared room)41.000 ptas.

Registration After July 15th:

Conference package for participants (single room)62.000 ptas.
Accompanying persons (shared room)47.000 ptas.

TOTAL PAYEMENT

ptas.

* I have submitted an abstract entitled:

* For additional accomodation information, see the Venue to La Casona

To be made by bank transfer to :

Holder:Universidad Politécnica de Madrid
Number:0065-0100-12-0031000262
Bank name:Barclays Bank
Address:Plaza de Colón, 2
28046-Madrid
Spain

Please mention:

Ref. P98 0920 025 NIS-98

and ask your bank to arrange the transfer with no cost to the beneficiary. Bank charges, if any, will be requested locally.

A copy of the bank transfer receipt, together with this registration form have to be sent by ordinary mail or fax (34.91.3367323) to

Mariano Gonzalez
ETSI Telecomunicación
Ciudad Universitaria
28040-Madrid, SPAIN


The conference package includes : Accomodation for October 6, 7 and 8th, meals starting with dinner on October 6th and ending with lunch on October 9th, one copy of the Proceedings, admission to the conference sessions, refreshments during the breaks, conference social events (welcome wine, excursion and banquet), transfer from San Rafael railway station to La Casona, and bus transportation on October 9th from La Casona to Barajas airport (Madrid). Bus arrival at the airport on October 9th is initially planned at 16 h 30'.

Comprises that of except conference sessions, coffee breaks and Proceedings.