WSOM'97 Registration Form

WSOM'97 REGISTRATION FORM

Please return this form to Eventra Ltd, Yrjönkatu 11 C 16, 00120 Helsinki, Finland. Tel/fax: +358-9-611 075. Please fill in one form per participant. Please type or print clearly.

Participant

Last name:  _______________________________________________   Mr/Ms

First name: ________________________ Citizenship: __________________

Mailing address: ___________________________________________________

City: __________________________ Country: __________________________

tel/fax: ___________________________ email: ________________________

Accommodation: Please circle your choice of accommodation.  All 
requests for accommodation must be accompanied by a deposit of first 
night cost per person.

   Hotel Rivoli            single FIM 520      double FIM 620
   Hotel Helka             single FIM 490      double FIM 590
   Hostel Satakuntatalo    single FIM 190      double FIM 260

Arrival:_______________ Departure: ______________ Total nights: ____ 
Hotel deposit:_____ I'm sharing a double room with:_________________

Attendance to social programme:
Ice-breaking party:  yes/no              Banquet:  yes/no

Total of fees: Write here the fees included in your payment, and 
calculate the total.

Workshop    before May 1   after May 1  
   general      1000,-       1200,-                FIM _______
   student       350,-        500,-              
Tutorial:   general  700,-  student 350,-          FIM _______
Accommodation in ________________ single/double    FIM _______
--------------------------------------------------------------
Total:                                             FIM _______

Payment should be net of all bank charges.  Unfortunately we are not 
able to accept personal, company or Euro cheques.  Please fill in
the appropriate form of payment, a or b:

a) The total payment of ________ FIM has been transferred to the 
bank account of Eventra Ltd. Bankers: Merita Bank, Helsinki, Finland. 
Account number: 157430-104651.

b) Please charge the total payment of _________ FIM from my credit 
card (circle appropriate):     VISA / Mastercard / Eurocard  

Card number ________________________ Expiration date _______________

Authorising signature ______________________________________________

Date ______________________ Signature_______________________________

For further information, please contact Eventra Ltd, tel/fax +358-9-611 075, email eventra@co.inet.fi