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Conference Registration Form
 
Please fill in this form, send it to VLDB 2003 Office via email by pushing the "email registration form" button. Additionally print the form, add your signature and if applicable add your credit card information and send it by fax to the VLDB 2003 Office.
       VLDB 2003 Office
BWO Marketing Service GmbH
Mohrenstraße 63
D-10117 Berlin, Germany
Tel.: +49-30-226684-70
Fax: +49-30-21998-405
E-mail: VLDB2003@BWO-Berlin.de
Title
Family Name Given Name
Affiliation
Address
Zip Code City
Country
State
Phone Fax
E-Mail
Special Requirements

Early Registration Fee:
By July 15, 2003		 Late/On-Site Registration Fee:
After July 15, 2003
Regular
490 EURO
690 EURO
Full-time Student
(undergraduate, graduate)
190 EURO
290 EURO
 

Workshops:


Total Amount:

Methods of payment accepted for the conference

( ) Bank transfer
Payee:
Reason for Payment:
Bank name:
Bank code number:
Account number:
( ) Visa   ( ) Diners   ( ) Mastercard   ( ) Eurocard
( ) Cheque (To be send by surface mail together with the signed registration form, instead of fax.)

Please provide the following information if registration fees are paid by credit card:
Card No. __ __ __ __       __ __ __ __       __ __ __ __       __ __ __ __
Exp. Date __ __ / __ __
Holder ____________________________________________
(Please write in capital letters)
Date/Signature ____________________________________________

click here for the Hotel Accomodation.