Registration form for WoTUG20

Please register me for WoTUG20.

Name:                 _____________________________

Institution/Company:  _____________________________

Address:              _____________________________
          
City, State:          _____________________________

Postal code:          _____________________________

Country:              _____________________________

Telephone:            _____________________________

Fax:                  _____________________________

E-mail:               _____________________________

Do you need parking permit?	_____________________

Please register me for the tutorial programme on Sunday including meals at
now extra costs YES / NO
                                                   DFl.    BP      US$     DM
Prices:
   Conference fee  Sunday - Wednesday              495.00  163.20  266.60  440.80
   This includes tutorials, proceedings and all meals.

Accommodation:
 package A   single room in Dish Hotel 4*  p/n   125.00  41.20  67.35  111.30
 package C   single room in Dish Hotel 3*  p/n   100.00  33.00  53.85   89.00 Sold out
 package E   double room in Dish Hotel 4*  p/n   140.00  46.15  75.40  124.70
 package F   double room in Dish Hotel 3*  p/n   115.00  38.00  62.00  102.40 Sold out

Please mark the accommodation of your preference: _________________
Room assignments will be made in booking order.

Indicate here for which nights you booking should be:

Sat/Sun   Sun/Mon   Mon/Tue   Tue/Wed


Payment method  M/C  VISA  AMX  account nr.:______________________Exp:____

Please check here if you prefer a bank transfer: _________________



Signature: _____________________________________


Please fax this reservation form to: Congress Association Twente at:
+31-53-489 4442

And Email it to:  S.M.Kleisen@basics.utwente.nl
    with a   Cc:  wotug20@rt.el.utwente.nl

Do not include credit card information if you e-mail this registration form!


=========================================================
SUMMARY   :  #nights : DFl      BP       US$      DM
=========================================================
Room rate            : ___.__   ___.__   ___.__   ___.__
---------------------------------------------------------
Room total = 
Room rate * #nights  : ___.__   ___.__   ___.__   ___.__
Registration fee     : 495.00   163.20   266.60   440.80
---------------------------------------------------------
SUB-TOTAL            : ___.__   ___.__   ___.__   ___.__
Student discount 
from WoTUG           : 270.00-  89.00-   145.50-  240.50-
=========================================================
GRAND TOTAL          : ___.__   ___.__   ___.__   ___.__
=========================================================

STUDENTS SHOULD NOT FORGET TO APPLY FOR A STUDENT DISCOUNT WITH WoTUG
SEE PREVIOUS PAGE !!!!!!