Registration for the DIAMANT/EIDMA symposium 2006

You can choose between a full arrangement and a customised arrangement. There is partial support for DIAMANT members and limited support for EIDMA members.

Full arrangement

The prices below include accommodation, meals (2 lunches, 1 diner, 1 breakfast), coffee breaks, and the conference fee. We encourage early registration and payment; the payment date is the date on which your money arrives on our account.

Prices full arrangement	registration before 15 October 2006 and payment before 1 November 2006	registration after 15 October 2006 or payment after 1 November 2006
for DIAMANT members	70/100* euro	100/130* euro
for EIDMA members	120/150* euro	150/180* euro
for others	170/200* euro	200/230* euro

*:the low fee is based on a double room, the high fee on a single room.

Customised arrangement

If you do not want a full arrangement, then please indicate on the form below exactly which mornings/afternoons you will attend, and which meals and accommodation you need; we will let you know the fee.

Payment

In the form below you are requested to enter a billing address. As soon as you submit your registration, we will send a bill for your participation fee to that address, which you should pay before the deadline in the table.

Registration form

To register please fill out the following form. The fields marked with * are optional.

First name:
Last name:
*Gender:	male female
Institute:
*Department:
Street+number (or PO box):
Postal code:
City:
Country:
E-mail address:
Do you want to propose a talk? (Only Ph.D. students can do so!)	yes no
Title and abstract:
*Home page:
*Position:
DIAMANT member:	yes no
If so, from the research group of:
EIDMA member:	yes no
Which arrangement:	full customised
Preferred type of room:	single double shared with:
	(We will match those who leave the name field empty.)
Dietary wishes
Further comments:
(If you choose the customised arrangement, then please specify here which night-and-breakfasts, lunches, and dinners you will spend or have at Huize Bergen; see the paragraph about the customised arrangement above.)
Is the billing address identical to address above?	Yes, it is identical. No, send the bill to the address below:
To avoid unnecessary delay, please check what rules your institution imposes on the bill; include below any necessary details, such as order numbers!
Billing address:

When you press the `submit' button below, your registration will be sent to the organisers immediately. So please verify carefully the data that you entered above before submitting. You should receive an e-mail confirming your registration, and (only) then your registration is definitive. If you do not receive such an e-mail within 2 days, then please contact Henny Houben.