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Registration Form Each participant should use a separate registration form or a copy thereof. Return completed forms to the Conference Office Name** : Title : First name/ Initials : Organisation : Department : Address** : Postal Code** : City** : ZIP Code : Country** : Tel. : Fax : e-mail : ** means 'required'. You have to fill out these fields. ~ Registration Payment (Before 1.7.1999) Late Payment (From 1.7.1997) Full Registration Euro.515,= Euro.670,= Basic Registration Euro.400,= Euro.550,= Companion (social events) Euro.55,= Euro.55,= Total Amount Due =    Euro NOTE: All amounts are in Euro Please make cheque and bank transfer payments free of charge Amount due paid by: Enclosed cheque Bank transfer      Bank Transfer to:      Account no. 40 82 55 226 ~ ParCo Conferences ABN-AMRO Bank Firmamentlaan 1 5632 AA Eindhoven The Netherlands Credit Card Visa Mastercard Card number:     Expiration date:   (dd-mm-yyyy) If you use Matercard, the address at which the card is registered, is also required: Street    Nr. City PostalCode Country Signature:________________________________          Date: 1-03-2000 (dd-mm-yyyy)      Conference office ParCo99 Faculty of Information Technology and Systems Department of Computer Science P.O.Box 356 2600 AJ Delft The Netherlands Tel: +31-15-2788700 Fax: +31-15-2787141 e-mail: parco99@tudelft.nl WWW: http://www.parco99.tudelft.nl