Home
Sponsors
General information
Organizing Committee
Final Announcement and Deadlines
Conference Topics
Instructions to authors
Scientific Programme
Social Programme
Registration
Accomodation
Conference venue
Madrid
How to reach Madrid
Around Madrid
Roche Prize
Contact us
Secretary; Viajes El Corte Inglés
c/o Santiago Guijarro
C/ Princesa, 47 4º planta
28008 Madrid
Phone: +34 91 204 26 00
Fax: +34 91 559 74 11
E-mail: dccimad6@viajeseci.es


Title (Prof., Dr., Mr., Ms):
Family Name:
First Name:
Position/Job title:
Organization:
Address:
City:
State/County/Province:
Post/Zip Code:
Country:
Phone:
Fax:
E-mail:
Web:

  BEFORE/ON Feb. 4th, 2004 AFTER February 4th, 2004
Full registration fee 475 € * 550 € *
Student** reg. fee 250 € 300 €

Special meal requirement: Vegetarian


PAYMENTS DETAILS:

BY CREDIT CARD:

El Corte Inglés Amexco Diners Club Master Card VISA

Holder:
Card number :
Expired date :

By Bank transfer (free of charges):

Acc. holder: Viajes El Corte Inglés S.A.
Bank: BANCO BILBAO VIZCAYA ARGENTARIA (BBVA)
Branch: Oficina corporativa
Address: Po. de Recoletos, 10
E-28001 Madrid (Spain)

B.I.C: BBVAESMMXXX
I.B.A.N.: ES9701823999370200664662
Account no.: 0182 3994 07 0000664047
(It is indispensable to mail or fax a copy of the bank draft along with the
accommodation form)

Acc. holder address:
Viajes El Corte Inglés S.A.
Princesa, 47 - 4 planta
E-28008 Madrid (Spain)

By bank check:
Viajes El Corte Inglés S.A. C/ Princesa, 47 4º planta.28008 Madrid

I authorize the total amount of € to be charged to my credit card


Important note: The personal details included in this document, are of a confidential nature. In accordance with the Constitutional Law 15/1999, of 13 December, the holder of this data will be able to exercise his or her rigth of access, rectification and cancellation on written application to: Viajes El Corte Inglés, S. A; Servicios Centrales - Dpto. de Organización y Métodos. Avda. de Cantabria, 51; 28042 – Madrid.

* Participants are entitled to a reduction of the full registration fee equal to n x 15%, according to the country classification by income (upper income, n = 0; upper-middle, n = 1; lower-middle, n = 2; low income, n = 3). Check the classification at: (www.worldbank.org/data/databytopic/CLASS.XLS)

** Students must submit a letter from their supervisor at the time of payment.

All registration fees include admission to the sessions, one hardcopy + CD of the Book of Abstracts, coffee breaks, lunches on Monday April 5th and Tuesday April 6th, welcome reception, farewell informal lunch, plus the Conference Dinner on Tuesday April 6th.

Companies interested in taking part in a small exibition may contact the conference office.

Clicking "print" will send a copy of the form to your printer to be faxed or mailed to the Travel Agency; NO DATA WILL BE SENT VIA THE INTERNET since this is NOT a secure connection.