ROeS Seminar 2005

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Title:           
                 Prof
                 Dr
                 Mr
                 Ms
                    
First name(s):   
Family name:     
Organization:    
Postal address:  
Country:         
Tel:             
Fax:             
E-mail:          

Registration fees for the Seminar are:

	Euro	SFr
IBS members	200,-	300,-
Non-members	270,-	400,-
Students	70,-	100,-
Day Ticket	80,-	120,-

Registration fees for the pre-conference Course are:

	Euro	SFr
Academic (early registration - before July, 1st)	80,-	120,-
Non-Academic (early registration- before July, 1st)	150,-	230,-
Late registration	200,-	300,-
Students not registered to the Seminar	40,-	60,-
Students registered to the Seminar	free	free

I register to the Course: yes no

Conference Dinner 1=Self only (30,-/45,-) 2=Self + 1 comp. (60,-/90,-) 3=Self + 2 comp. (90,-/135,-) 4=Self + 3 comp. (120,-/180,-) 0=no Dinner

Transfers are payable to:
Account Name: Medizinische Universität Graz
Account Number: 500 948 400 04
Bank Name: Austria-Creditanstalt
IBAN: AT931200050094840004
BIC: BKAUATWW
Please also provide the reason for payment: ROeS 2005 A 27228000006

Participants from Switzerland should instead use:
Biometrische Gesellschaft Region Oesterreich/Schweiz
Bank Name: Credit Suisse, 3001 Bern
Account Number: 169586-60
SWIFT: CRESCHZZ30A
Please also provide the reason for payment: ROeS 2005

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