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11^th. EUROPEAN CARBOHYDRATE SYMPOSIUM - EUROCARB XI

                   September 2 – 7, 2001, Faculdade de Ciências da Universidade de Lisboa, Portugal

 

                                                                    REGISTRATION FORM                         

 

Please write in capital letters or use a type writer:

Family name:……………………………………… First name:……………………… Title: ………M/F….….

Institute or Company:……………………………………………………………………………………..…..…

Address:…………………………………………………………………….……………………………….…..

Postal Code/City:………………....Country:……..………... ….Phone…………..………………………..…...

Email:…………………………………………………Fax:……….………………………………………..…....

Receipt should be in the name of :……………………………………………………….……………………..

Tax number:…………………………………………………………………….……………………………..…

 

REGISTRATION FEES      Before May 15, 2001         After May 15, 2001       Nr. Person(s)    PTE            EURO

                                                  EURO (PTE x10^-3)                EURO (PTE x10^-3)

 

Regular participant                      325 (66)                                375 (76)                      _______    ________    ________

Student*                                        175 (36)                               200 (41)                       _______    ________    ________

Combined fee**

Three-star hotel                           760 (153)                               810 (163)                    _______     ________    ________

Four-star hotel                              960 (193)                              1010 (203)                  _______     ________    ________

Five-star hotel                            1185 (238)                              1235 (248)                  _______     ________    ________

Accompanying person(s)***   150 (31)                                175 (36)                      _______     ________    ________

* Undergraduate and graduate students. A letter of endorsement of supervisor is required.

** Regular fee which includes also the excursion and the hotel for five nights and breakfast.

***This fee includes the social activities of the regular fee but does not include the lunches and the

coffee breaks.

 

PAYMENT

 

Bank transfer to EUROCARB XI – FUNDAÇÃO DA FCUL

                          BANCO PINTO § SOTTO MAYOR, AGENCY CAMPO GRANDE, LISBOA, PORTUGAL

                           Account Nr. 0015 0220 00800 00770187

 

VISA CARD …….                                                                        MASTER CARD …….                          

Card number ______________________________           Expiration date ___________________________

Owner name_______________________________          Authorised signature_________________________

 

CANCELLATION

 

Registered Congress participants who cannot attend the Meeting will receive a refund of 50 % of the fee if cancellations are notified before July 15, 2001.  No refunds can be made after this date.

 

DATE:                                                                                           SIGNATURE:

 

 

Please return this registration form to:    Maria Helena Weinstein  - Weinstein § Ca.

                                                                        Av. Infante D. Henrique, 585,

                                                                        2750-170 Cascais, Portugal

                                                                        Email:weinstein@ip.pt; Fax: +351 214823140;

         Phone: +351 214849797