REGISTRATION FORM
Fill in with block letters or type and return the form together with
your payment to: "COLING-96",c/o DIS Congress Service Copenhagen A/S,
Herlev Ringvej 2 C, DK-2730 Herlev, Denmark
Tel.: +45 4492 4492 - Fax: +45 4492 5050
PLEASE NOTE that registration cannot be made by e-mail !!!
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PARTICIPANT (Mr.( ) , Ms. ( ) )
Family name: First name(s):
Title/Profession:
Institution:
Postal address:
Postal code: City: Country:
Telephone: Fax:
E-mail:
Accompanying Person
Family name: First name(s):
NO. of REGISTRATION FEES until 20/5 after 20/5
persons (in Danish Kroner) DKK DKK DKK
ONLY one participant
per form
1 Participant 3400 3900
or 1 University Employee 2400 2900
or 1 Student(Documentation
must be enclosed) 1400 1900
Accompanying Person 500
Hotel deposit:
Level A,B, DKK 1.100 - -->
Level C DKK 600
PRE-COLING
Tutorial:Participant 1900 2100
Tutorial:University 1200 1400
Employee
Tutorial:Student 700 800
Workshop 100 100
LUNCH during ...
Tutorial 100
Workshops 50
COLING-96 200
SOCIAL EVENTS - Please tick
City Hall Reception,
August 5 yes ( ) no ( ) 0
Excursion to North Zealand,
August 7 435
Conference Dinner,
August 9 yes ( ) no ( ) 0
ACCOMPANYING Persons Tours
The City, the Canals and the
Harbour, August 5 (3 hrs.) 185
Royal Copenhagen Tour,
August 8 (4 hrs.) 270
TOTAL:
PAYMENT
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All payments must be made in Danish Kroner (DKK) and payable to COLING-96,
c/o DIS Congress Service Copenhagen A/S.
Please note that VAT is not added on congress payments in Denmark, and
therefore is not deductable.
Registration or hotel reservation will be confirmed when DIS Congress
Service Copenhagen A/S has received the payment. - Payment must be remitted
as follows:
( ) by banker's draft or cheque drawn on Den Danske Bank
( ) by bank transfer to bank account No. 4180 - 951946 (COLING-96) in
Den Danske Bank, Frederiksberggade 1, DK- 1012 Copenhagen K, Denmark
(Not applicable for payments made in Denmark).
( ) by postal giro transfer to Danish giro account No. 4 02 46 80
(COLING-96).
( ) by credit card. By my signature I authorize DIS to charge my credit card.
The total amount must be written on the front page in the box
"Total amount".
( ) Eurocard ( ) Master ( ) Visa ( ) Access
( ) AmEx ( ) Diners
Card No.: Expiry date:
Cardholder's name:
Cardholder's signature:
Remember to state Participant's NAME and COLING-96 on all payments!
Hotel Reservation
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Arrival date:__________ August 1996 -
Departure date:____________ August 1996
Hotel Single room No. of rooms Double room No. of rooms
Level DKK per night DKK per night
A 900 900
B 625-710 865-900
C 410 525
Prices include service charge, taxes, and breakfast. All rooms are with
bath or shower. The deposit will be deducted from the final hotel bill
when paid by the participant at the hotel. Please note that the Price
Level C hotel is, to some extent, self-service hotel.Triple rooms are
available in Price Level C at the price of DKK 640,- per room per night
incl. breakfast.
If requested please fill in the below:
( ) Yes, we would like to stay in a triple room. Our names are:
NOTE:
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I herewith confirm by my signature below that I have read, and am fully
aware of, the cancellation conditions stipulated in the 2nd Circular
and Registration Handbook.
Date:____________ Signature:________________________________________
Remember to make a copy of this form for your own files