Participant
First + Last Name
Choose ?prefix?
Mr
Professor
Dr
Ms
Job Title
Organisation
Address
Town
Post / ZIP code
Country
Telephone
Fax
Email
Registration
I will attend:
the conference on Thursday, September 30th, 2004
yes
no
the conference on Friday, October 1st, 2004
yes
no
the conference dinner, September 30th, 2004
(advance registration required)
yes
no
Conference fees
Registration fee
Fee conference dinner
One day
Two days
Early registration until August 14, 2004
(125€)
(150€)
(+60€)
Late registration August 14, 2004
(150€)
(175€)
(+65€)
To benefit from the early fee deadline of 14 August 2004 your payment must be recieved not later than 28 August 2004. If payment is recieved later han this, the full fee will be charged.
Special requirements
Do you have special requirements? Please let us know here:
Access
Dietary
Payment
Bank:
KBC, Interleuvenlaan 15c, B-3001 Leuven, Belgium
Account name:
K.U.Leuven
Account number:
432-0000011-57
Bank code:
KREDBEBB
IBAN code:
BE 09 432000001157
Please mention:
Participant's name + 'TAO-INSTD2-P3620'
Registration is only valid after payment. The conference secretariat will not accept bank charges associated with the transfer.
