5th International Fall Workshop
VISION, MODELING, AND VISUALISATION 2000
Saarbrücken, November 22 - 24, 2000, MPI Informatik, Saarbrücken, Germany
REGISTRATION FORM
To be returned to (preferably by fax)
Sabine Budde - VMV 2000 Conference Secretariat
Max-Planck-Institut für Informatik
Im Stadtwald , 66123 Saarbrücken, Germany
Fax: +49.681.9325.499
In order to process your registration, please fill out this form in capital letters and fax it to the above address.
Personal Information:
OMrs OMiss OMr
Name: First Name:
Affiliation / Institution: 
Address:
Zip Code: City:
State / Province: Country:
Phone: Fax:
E-mail:
Special diets (e.g. vegetarian):                                                         (important for the preparation of meals)
Registration Fees:
regular: 500 DM O $ 250 O 250 EURO O
reduced:* 450 DM O $ 225 O 225 EURO O
student:** 200 DM O $ 100 O 100 EURO O
* The reduced charge is offered to the members of IEEE or GI. Please provide proof of membership.
** If you are a student, please submit a coppy of your student´s identity card.
Payment Information:
O Bank Transfer (within Germany)
Vereinigte Volksbanken   Saarbrücken - St. Ingbert
Bank account number: 114 396 0265  Bank code number: 591 901 00
Account name: VMV-Workshop
O Credit Card
  OMaster Card OVisa Card  
  Credit card number: Expiration date:
  Signature:  
Date:__________________________________ Signature:_______________________________



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