PMA06 Registration form

(More information on http://liama.ia.ac.cn/PMA06/)

Please send the completed form by email to pma06@liama.ia.ac.cn
before September 15th, 2006 for early registration.
Late registration will be accepted up to October 15th, 2006.

General information
Last Name:	Middle Name:	First Name:
Gender:	Birth Date: dd/mm/yy
Nationality:	Passport No.
Organization:

Address:

Country:	City:	Postal Code (Zip):
Telephone (1) :	Telephone (2) :
Fax No:	E-mail:
Date of Arrival: dd/mm/yy	Date of Departure: dd/mm/yy
Number of accompanying persons 0

Fees information
Participation at PMA06 International Symposium (obligatory fees)
Early registration fees (before 15/09/06)	Delegate 400 €	Student 200 €
Late registration fees (after 15/09/06)	Delegate 440 €	Student 220 €
Events organized during the PMA06 International Symposium (optional)
Conference dinner	15 € per pers.	Number of persons
Tour to the Great Wall	15 € per pers.	Number of persons
GreenLab Tutorials hosted by the PMA06 International Symposium (optional)*
Registration fees	Delegate 40 €	Student 20 €
Tutorial dinner	8 € per pers.	Number of persons
TOTAL FEES	€

Bank coordinates for payment
You can pay registration fee by money order (mainland China only) or bank transfer only. Please use the following information when you pay the registration fees by bank transfer. Also please fax your receipt to us +86-10-62647458
Payable to (Account Name or Beneficiary):	Institute of Automation, Chinese Academy of Sciences
Account No. (if available on your form):	00031408091038 (EUR)
Bank:	Bank of China Head Office, Bank Department Beijing, PR China
Bank Address:	No. 1, FuXingMenNei Avenue, West City District, Beijing 100818, PR China
SWIFT (if available on your form):	BKCH CN BJ
Reference:	PMA06
Sender:	Your name

* GreenLab Tutorials are organized by LIAMA and will take place on Sunday, November 12th, 2006, in the CASIA building. All information can be found on http://liama.ia.ac.cn/wiki/doku.php?id=projects:greenlab:tutor2006

PMA06 Registration form

Fourcaud Thierry

2006-07-24

LIAMA