Third Eurographics Workshop on Parallel Graphics & Visualisation

Problems and questions about the workshop:
egwpgv00@iiia.udg.es

REGISTRATION FORM

Please fill in this form and sent it back by email to egwpgv00@iiia.udg.es 
or fax: (+34) 972.418.792

[] Mr   [] Mrs  [] Miss

Last Name: ...........................First Name:..............................

Organization: .................................................................

Address: ......................................................................

...............................................................................

Town: .........................................................................

Zip Code: ......................Country: ......................................

Tel: ...........................Fax: ..........................................

E-mail: .......................................................................

will participate to the 3rd Eurographics Workshop on Parallel Graphics and 
Visualisation.

PAYMENT

In all cases below, prices are given in Spanish Pesetes (ESP), 17.0% VAT included
Conference fee, choose between:

     Member of EUROGRAPHICS(*):                []  (22,500.- ESP)

OR   Non-member of EUROGRAPHICS:               []  (37.000.- ESP)

  (*)EUROGRAPHICS membership number: _____

These fees include the access to the meeting room, 2 lunches, the
dinner on September 29th and coffee breaks. My payment (in Spanish currency)
will be made:

[] by cheque to "Universitat de Girona" and sent by post (see below for postal address)

[] by bank transfer:

   Caixa de Girona, Girona
   2030: bank code; 0105: branch code; 65: key; 3110001275: account number
   SWIFT Code: CECA ESMM 030

   Please: make reference to the workshop as "PGV00".

[] by credit card:

   For this means of payment, the original signature is mandatory.

   Cardholder name and first name: .............................................

   Card number: |_|_|_|_| |_|_|_|_| |_|_|_|_| |_|_|_|_| Expiry date: |_|_| |_|_|

   I hereby authorize UdG to charge my credit card:

   [] Visa     [] Mastercard     [] Eurocard

                                                    Cardholder signature

                                                   ______________________
                                                  |                      |
                                                  |                      |
                                                  |______________________|

Please write your name clearly and make reference to the Eurographics
Workshop on Parallel Graphics and Visualisation on your payment. 
Registration without payment will not be considered.

Postal address:

       Workshop on Parallel Graphics and Visualisation 
       Institut d'Informàtica i Aplicacions 
       Universitat de Girona 
       Campus de Montilivi 
       E - 17071 Girona 
       Spain - European Union

Cancellation

Fees will be returned in full for any written cancellation before 
September 14, 2000. No refund will be made in respect of cancellation
received after this date.

Dietary restrictions

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DATE: ......................................

SIGNATURE: ................