Saint-Malo, France March 29th and 30th, 1998.

PODDP'98 Registration Form

To register for PODDP'98, please print this form and return it completed and signed together with full payment to:

 GUTenberg - PODDP'98
B.P. 10
F-93220 GAGNY PRINCIPAL, France

 Tel & Fax: +33 (0)1 30 87 06 25
b-auzeby@imaginet.fr


Personal information

First and last name
Affiliation
Address
City Postal code  
Country    
Phone number  Fax number  
E-mail

Payment information: full payment should be included for a registration. PODDP'98 registration includes attendance at the workshop, breaks Sunday afternoon and Monday, and lunch on Monday. Registered attendees will receive a copy of the preliminary proceedings at the door. Fees will be returned in full for any written cancellation received before March 20, 1998 (date of postmark). No refunds will be made for cancellations received after this date.

In French Francs (FF)
VAT 0%		  
Regular FF 1200
Full-time Student  FF 600
Additional lunches   x FF 130
(please fill this information if necessary)
 

Grand total
(please fill this total)

All paiements should be made out to GUTenberg - PODDP

Purchase order (for French, Belgian and Swiss attendees only)
Check drawn on a French bank, or Eurocheque, in French Francs (no foreign checks please).
Payment by check should be made payable to "GUTenberg - PODDP", and enclosed with the registration form.

Bank transfer. Please make sure your bank debits your account with all charges for the transfer. Include copy of the transfer order.

GUTenberg - PODDP
Banque Populaire, Région Ouest de Paris,
Address: 13, rue Oberkampf, 78350 Jouy en Josas, France
bank code: 18707 - branch code: 00030 - account number: 03019135684 - key: 75.
by credit card: for this means of payment, the original form is mandatory. Please note that this server is not secure; you should send your card information by normal mail.

Cardholder first and last name:

 Card type:

 Card Number

Expiry date

I hereby autorize GUTenberg to charge my credit card. Card holder signature (mandatory)

 


Travel discount

Please send me an Air France discount form (up to 50% off on any round-trip from inside France to Rennes)
Please send me a SNCF railway discount voucher (20% off any round-trip to Saint-Malo from France or Geneva)

Dietary restrictions

Please use the following field for any comment or question. If you reserved lunch on Sunday, please use this field to confirm it also.

20/02/98

PODDP'98 Registration Form