ESSLLI'97
European Summer School in Logic, Language, and Information
Aix-en-Provence, France (August 11-22, 1997)
http://www.lpl.univ-aix.fr/~esslli97
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REMINDER
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Please, note that the ESSLLI'97 early registration deadline is April 30th.
See our website for online registration.
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| REGISTRATION FORM |
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Name: ________________________________________________
First Name: __________________________________________
Institution: _________________________________________
Address: ___________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Country: ____________________________________________
Phone : ____________________________ Fax : _____________________________
E-mail : __________________________________________
Member of FoLLI : o Yes o No
1. Registration Fees
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Status | Early registration (before 4/30/97) | Late registration |
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Student | o 1.100 FF | o 1.400 FF |
Scholar | o 1.900 FF | o 2.300 FF |
Industrial | o 3.800 FF | o 4.600 FF |
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2. Accomodation
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- Day of arrival : _____________
- Day of departure : _____________
- Number of nights : _____________
. Hotel : Classes o 250-300 FF / night (Deposit : 600 FF)
o 350-400 FF / night (Deposit : 1200 FF)
. Hall of residence: o 70 FF / night (Complete payment at
the reservation)
- Total amount : __________
3. Meals
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o First week (4 meals) = 100 FF o Second week (5 meals) = 125 FF
- Total amount : __________
4. Social events
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o I would like to take part in ESSLLI parties
- Number of tickets : __________
- Total amount : __________
5. Tee-shirt
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o I would like to buy one (or several) tee-shirt(s)
- Number of tee-shirts and size: ____ L ____ XL ____ XXL
- Total amount: __________
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| Method of payment |
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1. Detailed account
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Registration fees : FF ___________________________
Accomodation : FF ___________________________
Meals: FF ___________________________
Social events : FF ___________________________
Tee-shirt : FF ___________________________
Amount: FF ___________________________
Credit card charges
(Japan : 4,5 %, Other countries : 3%) FF ___________________________
TOTAL AMOUNT : FF ___________________________
2. Methods of payment
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. Cheques : Made out in French Francs, payable to FoLLI.
. Bank transfers :
- Sorry but you will have to pay the banking charges (if you don't,
your registration will be considered as incomplete).
- Please enclose with this form a copy of your transfer. This copy
should mention the name and adress of your bank.
- Do not forget to write down your name on the transfer.
- The bank transfer must be done in French Francs on the account:
Bank : ABN-AMRO
Account number : 45 20 12 449
Swift Code: ABNANL 2A
References : ESSLLI'97 / your name
Address : Vereniging FoLLI
Plantage Muidergracht 24
1018 TV AMSTERDAM
The Netherlands
. Credit cards :
Credit card charges are yours. Whatever your credit card is, credit card
charges represent 4,5% of the total amount if your payment comes from Japan
and 3% if your payment comes from any other foreign country.
o VISA o Mastercard o American Express
Cardholder's Name : ______________________________________________________
Card number : ____________________________________
Expiration date : ________________________________
Amount : _________________________________________
Signature : _______________________________________
. If these methods of payment are inconvenient, it will be possible for you to
pay cash once you are in Aix. In this case, you will have to pay the late
registration fee and you will have to book your room yourself. Some exceptions
to these arrangements can be made for people coming from countries which do not
allow any of the long distance methods of payment above.
3. Cancellation
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- Cancellations received before June 1997, 15th:
. running costs = 400FF
- Cancellations received after June 1997, 15th:
. running costs = 50% of the registration fees
. no reimbursement of the deposits paid for the hotel
Date : _____________________ Signature : __________________________________
To return by e-mail to : esslli97@lpl.univ-aix.fr
A copy of this registration form together with the justificatory of payment
and the copy of the student card has to be sent by surface mail to :
ESSLLI'97
LPL - Université de Provence
29 Avenue Robert Schuman
13621 Aix-en-Provence
FRANCE