P. SIFFERT / E-MRS- IUMRS - ICEM 2000
23 Rue du Loess - BP 20
67037 STRASBOURG CEDEX 2 (France)
Fax: +33 3 88 10 63 43
emrs@phase.c-strasbourg.fr
E-MRS - IUMRS - ICEM 2000
May 30-June 2, 2000

REGISTRATION FORM

REGISTER AND PAY BY MAY 3, 2000 TO TAKE ADVANTAGE OF PRE-MEETING FEES !
Please complete this form and send it to the above printed address by May 15, 2000. Registrations received after this date will not be included in the list of participants.
    LAST NAME : 
   FIRST NAME : 
  INSTITUTION : 
   DEPARTMENT : 
STREET/PO Box : 
     ZIP/CITY : 
      COUNTRY : 
        PHONE : 
          FAX : 
        email : 
I plan to get lunch of the conference site on May 30 May 31 June 1 June 2
Vegetarian lunch Yes No
Please send me a control card giving a reduced rate (within France) for train.

A - REGISTRATION FEES

I will attend the E-MRS 2000 Spring Meeting.
Please check category and enter amount in payment section below.

A. Meeting Registration Fees	FF net  
B. Additional Proceedings 	FF net  
C. MRS Bulletin      		FF net   
    TOTAL REGISTRATION FEES 	FF net    

A. REGISTRATION FEES 
FULL REGISTRATION FEES:   
STUDENT FEES:                      
   Students have to give evidence of University Registration with Registration Form.
REGISTER AND PAY BY MAY 3, 2000 TO TAKE ADVANTAGE OF PRE-MEETING FEES !
REGISTRATION RECEIVED AFTER MAY 3, 2000 WILL BE CHARGED AT-MEETING RATES !

PLEASE CHARGE MY CREDIT CARD (ONLY FOR PAYMENT IN FRENCH FRANCS)
   CARTE BLEUE VISA     MASTER/EUROCARD   
CARDNUMBER :  VALID UNTIL : 
DATE       :  SIGNATURE   : 
AMOUNT FF  :    
I ENCLOSE A CHEQUE (to the order of E-MRS)
I ENCLOSE A COPY OF A BANK TRANSFER
   Bank: BANQUE POPULAIRE   Address: BP 401/R1, F-67001 Strasbourg Cedex, France
    Account: ASS. EMRS CONFERENCES  Nr. 17607/00001/111 913 85439/11
    Bank transfer charges will be at a minimum cost, provided you instruct your bank as follows:
    Please pay through S.W.I.F.T. to BPRS FR 2A
    BANQUE POPULAIRE   BP 401/R1   67001 Strasbourg Cedex France
    affiliable C.C.B.P. (Paris)
I ENCLOSE A PURCHASE ORDER TO INVOICE MY INSTITUTION/COMPANY
B. PROCEEDINGS ORDER (see symposia titles)
ONE PROCEEDING IS FREE OF CHARGE FOR FULL RATE PAYMENT
SYMPOSIUM A     SYMPOSIUM G     SYMPOSIUM M
SYMPOSIUM B     SYMPOSIUM H     SYMPOSIUM N
SYMPOSIUM C     SYMPOSIUM I     SYMPOSIUM O
SYMPOSIUM D     SYMPOSIUM J     SYMPOSIUM P
SYMPOSIUM E     SYMPOSIUM K     SYMPOSIUM Q
SYMPOSIUM F     SYMPOSIUM L     SYMPOSIUM R

I WISH TO RECEIVE ADDITIONAL PROCEEDINGS (400 FF net per copy): 
   Nr. of copies x = FF net
C. MRS BULLETIN
I WISH TO RECEIVE 12 ISSUES OF MRS BULLETIN: 300 FF net