International Software Engineering Research Network
ISERN 97
October 4th - 5th, 1997 - Bari (Italy)
REGISTRATION FORM
Please return this form along with the payment to: CENTRO INTERNAZIONALE CONGRESSI
II Trav. Via S. Matarrese, 3 - 70124 Bari, Italy -
Telephone Number: (+39) 80-5617299 Fax Number: (+39) 80-5614533
e-mail 74161.733@compuserve.com
Please type or print clearly
Name:____________________________________________________________________________
Last First Title (M/F)
Preferred Badge Name: _____________________________________________________________________________
Organization:________________________________________________________________________
City Post Code Country
Address:___________________________________________________________________________
Telephone No: ______________________________________ Fax No:_________________________________________________
E-mail:________________________________URL:_________________________________________
REGISTRATION FEE
ISERN members without fee
ISERN members with voluntary fee It. Lira 132.000 per person
Non-members It. Lira 500.000 per person
Students It. Lira 132.000 per person
Methods of payment
Payment must be made in Italian Lira by the following methods:
Foreign draft in Italian Lira for the amount of _____________ payable to:
Centro Internazionale Congressi s.r.l Bari, Italy
Credit Card:
VISA EUROCARD / MASTERCARD DINERS CLUBCard No. Card No.
Expiration date
/Cardholderss name (please print)______________________________________
Signature ______________________________
Hotel reservation directly to:
Sheraton Nicolaus Hotel
Via Cardinale Agostino Ciasca, 9
70124 Bari
Attention: Mrs. Marisa Adduci
Tel +39 80 5042626
Fax +39 80 5042548
Double room for one person: It.Lira 192.000 including buffet breakfast and taxes
Double room for two person: It.Lira 250.000 including buffet breakfast and taxes
Date: ______________________________
Signature: ____________________________________________