===================================================================== B A L T I C E L E C T R O N I C S C O N F E R E N C E Tallinn Technical University October 7-11,1996 ===================================================================== REGISTRATION FORM --------------------------------------------------------------------- PARTICIPANT: [ ] Mr. [ ] Ms. Title: _________ First name:______________ Last name: _______________ Organization: _______________________________________________________ Address: ____________________________________________________________ City: _________________________________ Postal Code:_________________ Country: ______________________________ Tel.: _____________ Fax:.______________ E-mail: _____________________ ACCOMPANYING PERSON: [ ] Mr. [ ] Ms. First name: ____________________ Last name: _________________________ ===================================================================== CONFERENCE FEE The conference fee includes the full edition of conference proceedings, all other informational material, Welcome Reception, Conference Dinner, refreshments during the intervals between sessions. 1. Authors and members of the programme committee 2 000 EEK (250 DEM) 2. Research Students * 1 200 EEK (150 DEM) 3. Other participants 2 400 EEK (300 DEM) * The Research Students have to add the endorsement by their Professor or Head of Department or a copy of their student identification document to the registration-form. ===================================================================== METHOD OF PAYMENT: --------------------------------------------------------------------- 1. Please charge my [ ] VISA [ ] EUROCARD [ ]MASTERCARD Card. No. ______________________________________________________ for the sum of ____________(EEK) Date of expire: _____________ Holder's name: ________________ Signature: ____________________ 2. Bank/wire transfer for the sum of ______________ EEK to "Tallinn Technical University - BEC'96". Bank: "North Estonian Bank" (code 420101784), Parnu mnt. 12, EE0001 Tallinn, Estonia. Account No. 0122021643. 3. International bank cheque (enclosed) for the amount of DEM ______, made payable to "Tallinn Technical University, BEC '96". - All banking charges should be paid by the participants. - Please indicate participants name(s) and organization name on cheque or payment order. --------------------------------------------------------------------- EEK is the notation for Estonian currency - kroon. 1 DEM = 8 EEK ===================================================================== HOTEL RESERVATION --------------------------------------------------------------------- Full name: DATE OF ARRIVAL: _______________ DATE OF DEPARTURE: ________________ HOTEL RATES (Per room, per night, breakfast included. The prices are a subject to change) PALACE**** Single room 2200 EEK [ ] Double room 2800 EEK [ ] OLYMPIA**** Standard*** Single room 1300 EEK [ ] Double room 1600 EEK [ ] Business**** Single room 1900 EEK [ ] Double room 2200 EEK [ ] VIRU*** Single room 1200 EEK [ ] Double room 1500 EEK [ ] CENTRAL** Double room 990 EEK [ ] MIHKLI* Single room 480 EEK [ ] Double room 720 EEK [ ] Lux room 780-900 EEK [ ] Number of rooms is limited in Mihkli hotel, reservations are made in the order of being received. I do not need to arrange my accommodation through the conference office [ ] _____________________________________________________________________ Payment for hotel should be made by the participants at the time of arrival. Remarks: ____________________________________________________________ (Please indicate any special requirements you may have related to accommodation or room sharing) Should you wish to cancel your reservation, please do so at least 20 days before your arrival. ===================================================================== ADDITIONAL INFORMATION --------------------------------------------------------------------- I am attending the BEC '96 as: [ ] presenter (the paper(s) registration number(s): [ ] author (the paper(s) registration number(s): The final version of my paper: [ ] has been sent to the Conference Office earlier [ ] is enclosed to this form [ ] will be sent to the Conference Office before June 1, 1996. Remarks: _________________________________________________________________ (Which technical equipment you would need for your presentation) ===================================================================== Please complete every section of this form that apply and return it with your payment as soon as possible but no later than June 1, 1996, to: ------------------------------------------------- | BEC'96 Conference Office | | Department of Computer and System Engineering | | Tallinn Technical University | | Ehitajate tee 5, EE0026 Tallinn, ESTONIA | | | | E-mail: bec96@cc.ttu.ee | -------------------------------------------------