COOP'98
Third International Conference on the Design of Cooperative Systems
May 26-29, 1998 / 26-29 mai 1998
Cannes (France)
Registration Form
DEADLINE : April 30, 1998
To be returned to :
Monique Simonetti
INRIA
COOP'98
Bureau des Relations Exterieures
2004 route des Lucioles, BP 93
06 902 Sophia-Antipolis Cedex
France
Tel.: + 33 - 4 92 38 78 64
Fax: + 33 - 4 92 38 79 55
E-mail:
simoneti@sophia.inria.fr
Registration
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Name:
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First Name:
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Affiliation:
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Department:
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Address:
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Zip code:
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City:
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Tel:
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Fax:
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Email:
Registration Fees
Academics/Industrials
PARTICIPANT WITH LODGING INCLUDED
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Option 1: Workshop on 05.26 + 3 days conference...........
4950 FF**
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Option 2: 3 days conference...............................
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4350 FF**
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PARTICIPANT WITHOUT LODGING
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Option 3: Workshop on 05.26 + 3 days conference...........
3950 FF**
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Option 4: 3 days conference...............................
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3350 FF**
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Students*
PARTICIPANT WITH LODGING INCLUDED (DOUBLE ROOM)
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Option 5: Workshop on 05.26 + 3 days conference...........
3920 FF**
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Option 6: 3 days conference...............................
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3375 FF**
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PARTICIPANT WITHOUT LODGING
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Option 7: Workshop on 05.26 + 3 days conference...........
2870 FF**
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Option 8: 3 days conference...............................
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2325 FF**
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* A copy of the student certificate is required. -
** VAT 20,60 % included.
Please state the workshops you will attend :
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Workshop 1
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Workshop 2
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Workshop 3
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Doctoral Colloquium
Payment
My registration is made on
[ ] A personal basis.
[ ] A professional basis.
Please find enclosed a purchase order from the Accounting Department
All payments should be made in French Francs
payable to the order of the Agent Comptable de l'INRIA by :
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Banker's draft
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Post Office check : CCP PARIS # 0041-00001-0909945B020-31
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Bank Transfer to the account of Trésorerie Générale des Yvelines,
Versailles, France.
Account Number : 10071-78000-00003003958-80
Please state your name and the conference name : COOP'98.
Travel
Fichet congrès, France uniquely :
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AIR FRANCE
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AOM
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AIR LIBERTÉ
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AIR LITTORAL
Reduced flight ticket within France [ ]
Arrival-Departure
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Date and time of arrival:
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Date and time of departure:
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Number of nights:
Date :
Signature:
