Metallogeny 2000: Review and Perspectives

Symposium in honor of the retirement of

Bernard POTY.

DECEMBER 7 - 8 2000

NANCY - France

1 - REGISTRATION FORM

(Please write in block letters)

 

Prof/Dr/Mrs/Mr NAME ................................................. First NAME ............................................................................

INSTITUTE .............................................................................................................................................................

ADDRESS ..............................................................................................................................................................

.............................................................................................................................................................................

ZIP CODE .............................. TOWN ................................................ COUNTRY .....................................................

PHONE (......).............................. FAX (......)................................ E-MAIL ...............……...@.....................................

 

 

REGISTRATION FEES (please check boxes)

  Before 02/10/00

After 02/10/00

Normal registration q 600,00FF q 700,00FF
Student * q 400,00FF q 500,00FF
* Please join a copy of student card
   
  total A .............. FF

 

MEALS (please check boxes)

 

q Welcome Reception 06/12 (18 h)

included in the registration fees

q Lunch 07 / 12

80.00 FF X . . . = ................

q Lunch 08 / 12

80.00 FF X . . . = ................

q Gala Evening 07 / 12

included in the registration fees

total B .............. FF

 

 

 

TOTAL 1 (A + B) .................. FF

 

2 - HOTEL REGISTRATION and TRANSPORTATION / COLLOQUE POTY

NAME (block letters) .................................................... First NAME .....................................................

 

TRANSPORTATION

q CAR q TRAIN* q PLANE**

Reduced congress ticket

* S.N.C.F: 20% discount voucher on French railways only

** AIR TRANSPORTATION : @ 40% discount voucher : - AIR LITTORAL - AIR LIBERTE

 

ACCOMODATION

The following prices, per room, per night, breakfast not included are indicative

Category (circle your choice and check boxes)

2 **

Tourisme

q Single Room

320 / 360

185 / 245

q Double Room q 2 beds q big bed

320 / 360

185 / 245

 

Please reserve ....................... room (s) from ..........…..... evening to ..........…..... morning.

No reservation will be done after November 07th , 2000

No reservation will be made without an advanced deposit for one night lodging 350 FF (2 stars) and 185 FF (tourisme category).

Refund of the advanced deposit will be only made if cancellation (by fax or by mail) is received before October 31, 2000.

TOTAL 2 (hotel deposit) .................... FF

 

TOTAL 1 + 2 ..................... FF

Registration form to be returned before October 02, 2000, together with payment to :

LORRAINE CONGRES

BP 663

54063 NANCY CEDEX (France)

TEL : (33) 03 83 36 81 81 FAX : (33) 03 83 36 81 80

E-MAIL : Maggy.Aulon@palais-congres-nancy.com

No registration without payment or order form will be considered

q By check

for hotel deposit cheque to "Lorraine Congrès"

for registrations fees-meals cheque to "Agent Comptable de l'Université Henri Poincare Nancy 1"

q By bank transfer on the account to : Banque Populaire de Lorraine , Rue Saint Jean , 54000 NANCY FRANCE

BANK Nb 14707 00020 – Account 00621107358 – key 91

IBAN Nb FR76 1470 7000 2000 6211 0735 891

please join a copy of bank transfer

q Order Form

If you need an invoice to do the payment, check the box and send an order form

q By Credit Card - VISA, EUROCARD, MASTERCARD only

-security payment by Internet-

Name of cartholder : ............................................................

Nb Í __ Í __ Í __ Í __ Í Í __ Í __ Í __ Í __ Í Í __ Í __ Í __ Í __ Í Í __ Í __ Í __ Í __ Í expiry date Í __ Í __ Í Í __ Í __ Í

in .................................. date ................................................... Signature ........................................................

 

Each cancellation must be done by mail or fax before November 25, 2000.

Refunds are subject to a 200 FF handling fee (except in the case of absolute necessity).