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ICENES 2000: Registration Form

Please print this form, fill it out, sign it and send it back by fax/post to the conference secretariat.

Family name:

Initials: Prof./dr./mr./mrs.

Institute:

Address:

City/Zip code:

Country:

Accompanying person:

Accommodation

NRG has made reservations for you in Hotel Marijke (****) in Bergen,
a village close to Petten. Bergen is beautifully located near the sea.
The room rate is 70 Euro (about 75$).
If you fill out the form before July 1, 2000, we make the hotel reservation and payment for you.

Please indicate your choice:

....... single room, ........ double room, from ...... September until ....... September 2000.

Accompanying persons program
Excursions for accompanying persons will be organized during the conference.
A selection has been made from a variety of Dutch cultural destinations, including:
A. Zuiderzeemuseum (Dutch historic buildings and crafts) with steam train ride
B. Museum Broekerveiling (vegatable auction) with boat trip
C. Guided nature walking tour through the dunes
D. Old city of Alkmaar
E. Frans Hals museum (paintings) in Haarlem

Please indicate your choice: A.... B.... C.... D.... E.... (Euro 20 each)

Payment:

The total due amount can be paid to the following address:
Bank: ING Bank Bank account number: 67 64 98 108
Address: R. v.d. Weijdestraat 2 Reference: ICENES 2000

1817MJ Alkmaar

The Netherlands

A possibility to pay by credit card is in preparation. You will be informed about this in time.

Please calculate your total costs:

Hotel: 70 Euro/room; ....nights

=Euro.....

Conference fee before July 1,2000:Euro 410; after July 1, Euro 455

=Euro.....

Conference dinner:Euro 35

=Euro.....

Guest ticket for conference dinner: Euro 35

=Euro.....

Excursions for accompanying persons: Euro 20 per excursion

=Euro.....

Total

=Euro.....

Date:      _______________

Place: _______________
Signature: _______________

Please send, fax or email this form to:

Mrs. M Hofman, Conference Secretariat ICENES 2000
PO Box 25
1755 ZG Petten
The Netherlands
E-mail: hofman@nrg.eu
Fax: (+31) 224 563490

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NRG, PO Box 25, NL-1755 ZG Petten, Netherlands, Tel +31-224564950, Fax +31-224568912
Information: info@nrg.eu
Update 13 April 2000