Registration, Para98, Ascii

PARA98 Registration Form
________________________
Tutorial June 14, 1998
Workshop June 15-17, 1998
NAME and ADDRESS:
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Surname: __________________________________________________________
First name: __________________________________________________________
Organization: __________________________________________________________ __________________________________________________________
Address: __________________________________________________________ __________________________________________________________
Postal code: ________ City: ____________________ Country: _____________
Tel.:_____________ Fax.:_______________ E-mail:_________________________
Registration for Tutorial on Sunday, June 14. Tick off your choice:
Tutorial: ___ No Tutorial: ___
FEES: Please fill in the appropriate places
---- (Deadline for early registration is Monday May 18, 1998):
Event University affil. Industry affil. Amount (SEK)
Early Late Early Late
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Tutorial 1.500 2.000 2.000 2.500 ________
Workshop 2.700 3.500 3.500 4.300 ________
Total fee, please add: SEK ________
Payment:
------- Pay tutorial and workshop fees (in Swedish Crowns (SEK) only)
to the Umea University Postal giro or Bankgiro.

o Postal giro: 1 56 13-3
o Bankgiro: 50 50 0701

Please, remember to state the participant's name, PARA98 and
account = 4037080-1 on all payments.

HOTEL Reservation:
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Hotel reservation (SEK) per night Single Room Double Room ----------------------------------------------------------------------
Hotel Bjorken
385 fri-sun
520 fri-sun
535 mon-thu
780 mon-thu

Uman Home Hotel
545 fri-sun
745 fri-sun
850 mon-thu
1050 mon-thu

Hotel Plaza 815 1015
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Unit price alternative TOTAL COST FOR 4 UP TO 7 NIGHTS ------------------------------------------------------------------------
Hotel Bjorken unit price 2000 2000/person

I reserve (number of) __ single room(s); __ Double room(s);

Arrival date at the hotel: _______ Departure date from hotel: _______

My priority for hotel reservation: 1st priority: _____________________
2nd priority: _____________________
Special requirements (e.g., vegetarian food or non-smoking room): _____ _______________________________________________________________________

Date: ________ Signature: ________________________________

Please mail or fax to: Umea University
High Performance Computer Center North
S-901 87 Umea, Sweden

Tel.: +46 90 786 76 66 Fax.: +46 90 786 61 26 E-mail: para98@hpc2n.umu.se _________________________________________________________________________