REGISTER - 2nd International Symposium on Medical Data Analysis

ISMDA 2001

October 8-9, 2001. Madrid, Spain.

Please complete this form and return it via mail or fax to:

Registration

CEFIC,

Technical secretary ISMDA 2001
C/ Olimpo, 33 - 1º C
28043 - MADRID
Phone: 34 91 388 9478
Fax: 34 91 388 9479

Email: cefic@cefic.com

Registration fees (Only for authors)

Advance (until August, 31st) Late/On site (after August 31st)

Regular 160 Euro 190 Euro

*Extended with banquets (lunch+dinner+musical show)

235 Euro 265 Euro

Student 50 Euro 75 Euro

Conference fees include conference attendance, refreshments at breaks, and one copy of the proceedings. Student registration requires a student ID card and excludes the banquet and the proceedings and is not available for authors. Lunch and dinner (the latter will include a musical show) are not included in the regular fee. Both invoices (regular and *extended) will be similar and will not feature the extras (meals and show) added to the conference fee.

REGISTRATION FORM (EXCEPT AUTHORS)

Registration information

Last Name ...................................................................

First Name ...................................................................

Affiliation ...................................................................

Address/ ...................................................................

Mailstop

City ...................................... Zip code ......................

Country ...................................................................

Daytime Phone..................................................................

Fax ...................................................................

Email ...................................................................

Method of payment

Payments must be remitted using one of the following (please check one):

charge credit card (please fill out an sign)

Amount to be charged :

( EURO ) .................................................

Eurocard VISA

American Express Diners Club

Name on Card ................................................

Card # ..................................................

Exp. Date ..................................................

Signature ..................................................

enclosed check or money order payable to ISMDA 2001 Organization, CEFIC

Bank transfer (in Euro) to the following account (all bank charges involved are the responsibility of the sender):

CAJA MADRID: Account 2038-2447-61-6000328854.

All no-show registrations will be billed in full.

[INTRODUCTION] [COMMITTEES] [PROGRAMME] [REGISTRATION] [CALL FOR PAPERS] [AUTHOR'S INFORMATION]
[Madrid: Additional Information]

Last Updated: 2001-09-18