Conference
Fee [*]
|
||
Date of registration | AMS or UMI members | Others |
until March 31, 2002 | 100 | 120 |
until May 31, 2002 | 150 | 170 |
on site [**] | 180 | 200 |
[*]
In Euro currency. (1 Euro = 0.8534 US$ as of June 22, 2001) [**] Please note that payment will be accepted by cash only at the Meeting site. |
Registration
Form
Meeting UMI-AMS, Pisa, Italy, 12-16 June 2002
Sent via fax to
Unione Matematica Italiana
Fax +39 051 4214169
Title ...... Last name ......................... First name .................
Affiliation .................................................................
Address .....................................................................
Zip code ............ City .................... Country .....................
Tel .................... Fax .................... E-mail ....................
Arrival date ............ Departure date ............ Accompanying person ...
Session of interest .........................................................
[] American Mathematical Society
[] Unione Matematica Italiana
Method of payment
[] By bank transfers to the following
account:
Banca Nazionale del Lavoro
Via Rizzoli, 26
I - 40124 Bologna
"Joint
Meeting AMS-UMI": IBAN IT25 A010 0502 400 0000 0059 067 swift/bic BNLIITRR
By Credit card
Last name ......................... First name .................
Place and date of birth ........................................
Permanent address ..............................................
................................................................
Passport (or other identification document) n...................
[ ] Visa [ ] Mastercard
Card Number ................................
Expiration date ............................
[ ] I AUTHORIZE Unione Matematica Italiana
to withdraw from the credit card above-mentioned the amount of:
Euro ......,00 (......................................./00)
Date ................ Signature ..........................................