Registration form (to Mr. Rani Makké)

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

I intend to participate in EUNICE'2001 & WATM'2001 from September 3 to September 5, 2001.

Please complete this form , print it out , sign the page and fax it  to +33 1 45 81 31 19. Card payments can also be done at the registration desk. 
Family name   Given Name  
Organization  Postal address  
Phone    
E-mail    
Fax   full  time student: 
school:

(The registration fees of  participation must be paid before August 20, 2001)

I will pay the registration fees by :

[Composant FrontPage Enregistreur de résultats]

Check

Bank Transfer

Credit Card

Participation in the evening program on September 4th :

[Composant FrontPage Enregistreur de résultats]

  Yes

  No
Date: _____________________ Signature: _____________________

If you want to pay by credit card, please fill the credit card form.

 

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