Please complete and return as soon as possible to:

K.I.T. GmbH

Ref.: „ISGO„

Kurfürstendamm 71                                                                                                                                                     

10709 Berlin / Germany

Fax: ++49-30-24603-200

Tel: ++49-30-24603-209

 

REGISTRATION/HOTELRESERVATION FORM

ISGO Conference   October 10 – 13,  2002, Berlin

 

Please fill out in BLOCK CAPITALS and tick where appropriate.

This form is for one congress participant only. For additional participants, please photocopy this form.

 

  Participant              Speaker                  Press

 

Form of address q Mr.   q Mrs.   q Dr.                    q Other ______________________

 

 

Family Name                                                                               First Name

 

Institution/Company

 

Country                                                             Postal code                                                                     Town

           

Street/P.O. Box                                                  House number

 

Tel. (country code/area code/ No.)                 Fax:                                                                    E-mail:

A:

 

Accompanying person

 

 

 

 REGISTRATION

 

Conference Fee                                Price until                    Price after                                                                                                                             15 July 2002                 15 July 2002

Participant                                                      EUR    200                           EUR   250

Student (proof required)                              EUR    100                           EUR   150

Conference dinner per person                  EUR      60 /accompanying persons  …….. (number)  

 

The conference fee includes lunch on Friday to Sunday, refreshments, Welcome mixer on Thursday and the

conference information package.

 

Total amount:  EUR                            

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

ACCOMMODATION

 

                                                                          Rate/night                                        Rate/night                         

                                            Single room                                     Double room                   

Hilton Berlin                                                     q EUR  210,00                                  qEUR  230,00     

 

Astron Hotel Mitte                                          q EUR  187,00*                                 qEUR  207,00*

              

               Holiday Inn City Center East                       q EUR  105,00*                                 qEUR  125,00*

              

Hotel Unter den Linden                   q EUR    97,00*                                

 

Ibis Mitte                                                          q EUR    84,00*                                 qEUR  103,00*

              

Hotel Königin Luise Berlin                            q EUR    75,00*                                 qEUR    90,00*

 

*including breakfast

 

Please circle special requirements:

q   Arrival after 6:00 p.m.      q  non-smoking                      q wheelchair accessible

 

Arrival Date                            Departure Date                                 

 

 

 

TERMS OF PAYMENT

 

q I will transfer the amount due to the following account:

(Payment must be made in EURO)

 

q         Bank-to-bank-transfer to K.I.T. GmbH

Dresdner Bank Berlin GmbH

Kurfürstendamm 26 a

10719 Berlin / Germany

International bank code: 100 800 00

K.I.T. GmbH account N°:  05 140 262 00

            Please indicate „ISGO„ and your name and affiliation on all money transfers

 

q  I agree that my credit card will be debited with the total amount due.

 

q  Card holder’s name:

 

q American Express  q Diners Club             qEurocard/Mastercard        qVisa

           

q  Charge my credit card N°:

 

q  Card verification code:   

 

     Expiration date: (Month / Year) _____________________________________________________

 

I certify that I accept the conditons of registration, hotel accommodation and cancellation as stipulated on pages  8 in the 2nd announcement.

 

Date: ____________________________________ Signature: _________________________________

D: G