REGISTRATION FORM - Euro Conference in Model Theory and Applications
Ravello, May 27 - June 1, 2002

Please fill in the following registration form and submit it using the submit button at the bottom of the page. Items with a * must be completed. Your e-mail address (given below) must be a valid address, as it is the address at which we will write to you. Please submit your application only once, unless you wish to modify some item. The robot will send you back an acknowledgement and a copy of the information you sent us (it may take a few minutes).
If you wish to modify the information you gave us, you may do so, but make sure that you completely fill the form (as we do not want to have information scattered in several places).


PERSONAL INFORMATION

Surname*       Mr Ms Dr Pr
First name*
Date and place of birth*
(Day/Month/Year) (City, Country)
Institution*
Department*

ADDRESS

Home address*
(Number and Street, City, Postal code,
Country)
Work address
(including Postal
code, Country)
Email address*
Telephone number
(including  country
code and area code)
Fax number

POSTERS

I would like to present a poster:      Yes No Title:

REGISTRATION

Recommended dates of arrival and departure: 26th of May and 2nd of June. Both days are Sundays.
Date of arrival: (day) (month)
Date of departure: (day) (month)
Number of accompanying persons*
Name of accompanying persons
Early registration for ECMTA-02: Yes No
Will you attend the banquet? Yes No

ACCOMMODATION

Please, see details of the hotels on our Web page "Hotels".
Do you wish to reserve a room through the Agency Sunland Viaggi e Turismo? Yes No
If you answered Yes, please complete all items below.

Accommodation needed from the (day) (month) in the evening to the (day) (month) in the morning.
Preferred size of the room:   Single    Twin    Double
Do you wish to have an additional bed in your room? Yes No
Type of accommodation:   Half-board lunch    Half-board dinner    Fullboard
Due to the small number of single rooms in the hotels (at most 2 per hotel), you will almost certainly need to share a room. Please tell us
Name of the person(s) you would
like to share a room with:
or your gender:
(M=Male, F=Female)
Please rank at least three hotels by order of preference (1,2,3, ...):

Hotel Ranking Hotel Ranking
Hotel Bonadies Hotel Parsifal
Hotel Graal Hotel Zi'ntonio (Scala)
Hotel Toro Hotel Giordano
Hotel Villa Maria Hotel Garden
Flat   

Day, place, and estimated time of arrival in Naples:
(This information should be given as soon as possible,
to help us plan the time of departure of the buses)
Dietary requirements:
Other comments:

PAYMENT FORM

Please follow this link.


If you are ready to send this form, press on: else to start again, press on:
Once you have submitted the form, you will see on your Web page the information you gave us. You do not need to do anything more, your information has been processed. If you do not receive an aknowledgement within a few minutes (10?), please check that the e-mail address you gave is valid, if necessary correct the form and resubmit it. If your e-mail address was valid, please do not resubmit, and write to zoe@logique.jussieu.fr.

Modified March 6, 2002