Last Update: May 21, 2000

icon3 Registration and Accomodation:

Please fill in the form of the registration and accommodation form attached at the bottom of this page and send it via E-Mail to furukawa@minster.cs.york.ac.uk.

icon3 Application Form for MI17 Registration and Accommodation icon3
(Please fill in the form and send it to furukawa@minster.cs.york.ac.uk)

[--- Registration ---]
First Name:
Last Name:
Title of the Talk:

Gender: F M
E-Mail Address:
Affiliation:
Street Address:
City State/Province:
Postal Code/ZIP:
Country:
Telephone:
Fax:
Date of Arrival:                       (Flight No.:         )
Date of Departure:                   (Flight No.:         )

[--- Accommodation ---]
    ( ) Four Nights  (July 18-21)
    ( ) Three Nights (July 19-21)
    ( ) Two Nights   (July 20-21)
    ( ) One Night    (July 21)
    ( ) Other (                        )
Accompanying persons (Names):

[--- Banquets ---]
For the banquet on July 20, we would like to ask all the participants who want to attend it to pay 20 GBP (besides the supper expenses).

    ( ) I (We) will participate in Banquets on July 20.
    ( ) I (We) will not participate in Banquets on July 20.

     The number of persons who will participate in Banquet:
     Special requets for meals:

     Meal order (please fill in the number of meals you order):
     (The meal orders are changable after your arrival at the KEIO HOUSE.)
        ( ) July 18 Supper
        ( ) July 19 Breakfast
        ( ) July 19 Lunch
        ( ) July 19 Supper
        ( ) July 20 Breakfast
        ( ) July 20 Lunch
        ( ) July 20 Supper
        ( ) July 21 Breakfast
        ( ) July 21 Lunch
        ( ) July 21 Supper

     Prices of accommodation and meals for non-invitees are as follows.
      Accommodation
         19 GBP per night
      Meal
         Breakfast   6 GBP per meal
         Lunch       9 GBP per meal
         Supper     16 GBP per meal


[-- Amount ---]
Total Payment in GBP:

*Please pay the above amount at the workshop site. Note that we accept only cash. We cannot accept credit cards.

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E-Mail to ueno@sfc.keio.ac.jp if you have any question.