REGISTRATION FORM
MELECON’ 2000, Mediterranean Electrotechnical Conference
Information Technology and Electrotechnology for the Mediterranean
Countries
Le Meridien Hotel, Lemessos (Limassol), CYPRUS, 29-31 May,
2000
Please complete this form using BLOCK CAPITAL
or TYPE and send it to the
Secretariat with relevant payment of fees.
NAME: ...................................................... SURNAME:................................................ TITLE:....................... ORGANIZATION/ INSTITUTION: ..................................................................................................................... .................................................................................................................................................................................... MAILING ADDRESS: ........................................................................................................................................... .................................................................................................................................................................................... CITY: ............................................................. COUNTRY: ................................................................................ PHONE: ............................................. FAX: ............................................ E-MAIL:............................................ ACCOMPANYING PERSON’S NAME (if any): ................................................................................................
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IEEE, IEE, SEM, ETEK members: | Received at the Secretariat on or before 31/03/00: USD
190.00
Received at the Secretariat after 31/03/00: USD 210.00 |
Non-members: | Received at the Secretariat on or before 31/03/00:
USD 230.00
Received at the Secretariat after 31/03/00: USD 260.00 |
Students: | Received at the Secretariat on or before 31/03/00:
USD 120.00
Received at the Secretariat after 31/03/00: USD 130.00 |
REGISTRATION FEES (Full payment):....................................
C. HOTEL ACCOMMODATION (For hotels and prices please CLICK here)
Please reserve for me one DOUBLE/ SINGLE room at................................................................ (name of hotel) Second choice of hotel: .................................................................................................................. (name of hotel) CHECK IN DATE:............................ CHECK OUT DATE:............................ NO. OF NIGHTS:............................
HOTEL ACCOMMODATION: (Minimum one night
deposit payment required): .................................................
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D. EXCURSIONS (For excursions and prices please CLICK here)
Thursday, June 1, 2000 Afternoon guided tour to Troodos (14:00-19:00); No. of persons ..................@ USD20=.................. Thursday, June 1, 2000
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E. PAYMENT I prefer the following method of payment (Please underline accordingly). Cheques payable to INCEMA TRAVEL LTD.
CASH ..........
CHEQUE .......... MONEY ORDER
.......... VISA ..........
MASTERCARD ........... CARD NUMBER:...................................................................... EXPIRY DATE:............................................... SIGNATURE:............................................................................... DATE:.............................................................. REGISTRATION IN US$:........................ ACCOMODATION IN US$:.................... EXCURSION IN US$:................................ TOTAL AMOUNT INCLUDED IN US$:.......................
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THE COMPLETED REGISTRATION FORM TOGETHER WITH THE
APPROPRIATE PAYMENT OF FEES SHOULD BE MAILED/FAXED TO:
Klea Hadjilambri, INCEMA TRAVEL LTD, P.O. BOX 53458, LIMASSOL,
CYPRUS
Tel.: 00357-5-366622, Fax: 00357-5-366873, E-mail: incema@spidernet.com.cy
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