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

Ž ISERN members without fee

Ž ISERN members with voluntary fee It. Lira 132.000 per person

Ž Non-members It. Lira 500.000 per person

Ž Students It. Lira 132.000 per person

 

Methods of payment

Payment must be made in Italian Lira by the following methods:

Ž Foreign draft in Italian Lira for the amount of _____________ payable to:

Centro Internazionale Congressi s.r.l – Bari, Italy

Ž Credit Card:

Ž VISA Ž EUROCARD / MASTERCARD Ž DINERS’ CLUB

Card No. Card No. ŽŽŽŽŽŽŽŽŽŽŽŽŽŽŽ

Expiration date ŽŽ/ŽŽ

Cardholders’s 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: ____________________________________________