REGISTRATION
The fee covers accommodation, full board including three meals, refreshments and the use of hotel facilities for the 5 days. Students can benefit from a reduced fee with accommodation in a double room. The attendance will be limited to 55 persons. It is necessary to register in advance. Registration will be handled on a first-come-first-served basis.Please fill in one form for each person attending. Registrations are acknowledged upon registration and you will receive an invoice later. For a printable registration form in PDF format click here.
To be completed in block letters & returned before May 15, 2001 to:MP-SoC Summer School (Attn. Sonja Amadou)
TIMA Laboratory
46, avenue Félix Viallet
38031 GRENOBLE CEDEX, FranceFax: +33 476 47 38 14 Email: Sonja.Amadou@imag.fr
Family Name: .........................................................................
First Name: ............................................................................
Organization: ..........................................................................
Address: ................................................................................
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Country:..................................................................................
Phone: ...................................................................................
Fax: .......................................................................................
E-Mail: ...................................................................................
Please register me for the System-On-Chip Course:
[ ] Regular registration fee 9500 FRF
[ ] IEEE/EDAA members reduced registration fee 8000 FRF
[ ] Reduced registration fee for students 5500 FRF (please join a copy of your student card)
There are 2 ways to pay the registration fee (tick one):
[ ] payment by Cheque or Bank Transfer to:
Madame l'Agent Comptable Secondaire du CNRS[ ] by VISAcard / Mastercard / Eurocard / Diners Club / American Express
Délégation Alpes, CNRS, 25 Avenue des Martyrs,
BP 166X, 38042 GRENOBLE CEDEX, FRANCEBank Account Number:
Tresor Public Grenoble 10071-38000-00003000056-07
mentioning MPSOC/910706
(SA UNIVAL):I agree to pay the amount of: ............................................................Credit Card Number: .........................................................................
Expiry Date:....................................
Name of Cardholder: .........................................................................
Date/ Signature: .................................................................................
For the room reservation, please provide following details:Arrival date: .........................................................................................
Departure date: ....................................................................................
Special requests (vegetarian, non smoking, ...): .......................................
In case you want to stay longer than the period foreseen by the Summer School package (from 8th July evening till 13th July noon) as well as for attendees who wish to bring their family with them, we will make the reservation on your behalf. An extra day costs 700 FRF/person for course attendees. The extra cost for accompanying persons sharing your room amounts to 500 FRF/day/person - free for children under 3.
Number of accompanying persons:
Adults: ......................................................................................
Children: ....................................................................................
Children under 3: ........................................................................
All extra hotel expenses have to be paid on-site. No reservation can be made without valid credit card information and signature. You will receive a confirmation along with all necessary details. All cancellations must be made in writing. Cancellations may induce expenses due to administrative handling.Credit card information to guarantee your hotel extras:
Credit Card Number: .........................................................................
Expiry Date:....................................
Name of Cardholder: .........................................................................
Date/ Signature: .................................................................................