Industrial days at CERFACS on Inner-Outer iterations,
                September 11--12, 2000, CERFACS, Toulouse, France
  
  
                           PERSONAL REGISTRATION DATA
  
 
Person:   Mr,  Ms                 Title:   Prof.,  Doc.,  Student,  Ing.,  Other
[Make a selection]                [Make a selection]
  
First name:                       Family name:
 
University:
 
Company:  
  
Dept.:
  
Address:
 
 
Zip:                              City:
 
State:                            Country:
  
Tel.:                             Fax:
 
E-mail:
 
Arrival date:                     Departure date:
 
  
Payment information:   Bank transfer,  Check
[Make a selection]
  
                       Registration fees: (covering lunches and coffee breaks)
                       early registration: 400 FF or 60.98 Euros (before July 31st) 
                       late registrations: 600 FF or 91.47 Euros 

                         * Bank transfer:
                           Net Payment made by transfer to BNP Toulouse
                           Swift: BNPAFRPPTLS
                           Account Number:   30004   00762   00020871460   63
                           Please, specify your name for the bank transfer.
                         * Check: (in FF or in Euros only)
                           At the order of CERFACS
 
  
Accommodation:        * Room in ENM (student accommodation): 48 Frs / night.
                         
                      * A list of hotels will be given later.
 
 
Any questions
or Comments? 



PLEASE RETURN THIS FORM TO :
----------------------------
 
           . by e-mail :  yzel@cerfacs.fr  and  travies@cerfacs.fr
 
           . by mail :    Brigitte Yzel
                          Parallel Algorithms Project
                          CERFACS
                          42, Avenue Gustave Coriolis
                          31057 Toulouse cedex 01
                          France
 
           . by fax :     to Brigitte Yzel
                          (33) (0)5 61 19 30 00