Credit card payment (to Mr. Frantz Cayol)

IFIP Workshop on IP and ATM Traffic Management WATM’2001 And EUNICE’2001

Registration fees for EUNICE'2001 & WATM'2001

(Please print out, complete carefully and fax this form to:

 Mr. Frantz Cayol, fax : +33 1 45 81 83 52)

Please charge my:

Card Number: ______________________________________

Name on card :______________________________________

Date of expiry (mm/yy):______/_______              Grand Total in Euro:___________________

Date:______________________________    Signature: _________________________

If you have any questions concerning invoice, please contact Mr. Rani Makké (Rani.Makke@enst.fr)

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