Conference Registration Form


Toledo'97 events comprise CHDL'97, Spring'97 Conference of the VHDL Users' Forum in Europe, the Workshop on Libraries, Component Modelling and Quality Assurance and the Esprit NADA Workshop. There is only one registration for the combined event and the participants will receive all the proceedings.

Please complete and sign this form. Use one form per person and write in capital letters.
Send it by postal mail or fax to:

Carlos Delgado Kloos. General Chair
Universidad Carlos III de Madrid. C/ Butarque 15, E-28911 Leganés (Madrid) Spain
Fax: (+34-1) 624-9430. E-mail: chdl97@it.uc3m.es

I will attend the Toledo'97 events.

Last name: ......................................................................................................................................
First name: ......................................................................................................................................
Affiliation: ......................................................................................................................................
Address: ......................................................................................................................................
Postal code: .................... City: ..................................... Country: ...........................................
Phone: .................... Fax: ..................................... E-mail: ...........................................

Please note that the EARLY REGISTRATION DEADLINE has been put off one week!

Registration fees
(in Pesetas)
On/before
March 8
After
March 8
Which one?
Morning tutorial
Afternoon tutorial
Conference (normal)
Conference (discount)
Student
One day
Additional banquet ticket
20.000
20.000
50.000
45.000
30.000
20.000
10.000
 
 
 
 
 
 
 
20.000
20.000
55.000
50.000
35.000
20.000
10.000
 
 
 
 
 
 
 
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TOTAL FEE (in Pesetas) .....................................


Methods of payment (all payments in Spanish Pesetas):

eurocheque (must accompany registration form) in Pesetas, payable to Universidad Carlos III de Madrid.
cheque (must accompany registration form) in Pesetas, drawn to a Spanish bank, payable to Universidad Carlos III de Madrid (fees to be charged to the issuer of the cheque).
bank transfer to:
Univ. Carlos III de Madrid, Ref. 442. Account: 2110064856; Bank code: 0049-0581-19. Bank Name: Banco Central Hispano. Address: Juan de la Cierva 38, E-28911 Getafe/Madrid
Fees to be charged to the participant. Please indicate participant's name and affiliation in the transfer!
credit card:
Mastercard/Eurocard Visa
Card holder's name: ..........................................................................................
Credit card number: ..........................................................................................
Expiration date: ..........................................................................................
Card holder's signature: ..........................................................................................

Cancellation by postal mail or fax is possible if received by April 1, 1997; 75% of the payment will be refunded. After that date, no refunds will be made. A substitute participant can be named at any time.

Please specify your dietary requirements for lunch and conference banquet and any other requirements.

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Date Signature