ISAMA 99 REGISTRATION
 
7 - 11 June 1999, San Sebastian


 
  FIRST NAME / FAMILY NAME: 
 
  NATIONALITY: 
 		   MALE:                FEMALE:  
 
  ORGANIZATION: 
 
  STREET AND NUMBER: 
 
  POSTAL CODE / CITY / COUNTRY: 
 
  TEL: 
 		   FAX: 
 
  E-MAIL: 
 
  ___  Before May 1, 1999   (250 US $ - 225 EUROS - 37,500 PESETAS) 
  
  ___  After May 1, 1999   (280 US $ - 250 EUROS - 42,000 PESETAS) 
  
  ___  On site registration   (300 US $ - 270 EUROS - 45,000 PESETAS)  
  BANK DRAFT: ___                                Bank: BILBAO BIZKAIA KUTXA, BILBAO (SPAIN) 
   
  Bank No: 2095 0000                            Account:  9100582007 
 
   CHECK:___                              ENDORSED TO:  ART AND MATHEMATICS 
 
  CREDIT CARD    VISA:___         MASTERCARD:___  
 
  CARD NUMBER: 
 		   EXPIRITY DATE: 
 
  CARD HOLDER: 
 		   SIGNATURE: 
 
 

Fill in this form and mail or fax it to the Conference Secretariat. Be sure to quote your name clearly in all the relevant documents.
Please, enclose a copy of the bank draft or money order and do not hesitate to contact us if you have any further question.

 
Nathaniel Friedman - ISAMA 99
Department of Mathematics
University at Albany, SUNY
Albany,  NY  12222  USA
 
FAX:  + 1  518  442  4731
PHONE:  + 1  518  442  4621
E-mail:  artmath@csc.albany.edu
 
 
CONFERENCE FEE
 
DATE
 
Before May 1, 1999
After May 1, 1999
On site registration 
  
U.S. DOLLARS
 
250  US$
280  US$
300  US$
 
EUROS
 
225  EUROS
250  EUROS
280  EUROS
 
PESETAS
 
37,500  PESETAS
42,000  PESETAS
45,000  PESETAS
 
 
 
FEE INCLUDES
 
  • Participation in all sessions
  • Main program
  • Proceedings book
  • Coffee breaks
  • Lunches
    		•
    • Social dinner
    • Reception and farewell cocktail
    • Cultural acts
    • Excursion (Gernika + Bilbao)
    • Conference pack
     
     
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