Select registration form for e-mail or fax if your browser does not support forms or you prefer not to use this form.
Please fill in carefully and submit
Participant: Mr/Ms Surname: First name: Company/Institution: Company address: Postal code: City: Country: Telephone: Telefax:
E-mail:
Accompanying guest Mr/Ms Surname: First name: Mr/Ms Surname: First name:
Arrival date, June: Departure date, July: Please indicate Track preference: Applications Technology
Please, also indicate your participation in the events included in the fee.
Number DKK Total Conference participant 4.500 4.500 Included: Admission to the conference, documentation, coffee during breaks, 3 lunches, reception at City Hall, conference dinner at "Perlan", excursion w/dinner and transport as per programme. Seminar on Internet and Unix Security, July 2nd 1.000 Fully booked - sorry! - If you register you will be placed on a waiting list in case places become available Accompanying guest(s) 1.250 Included: Reception at City Hall, conference dinner at "Perlan", excursion w/dinner and transport as per programme. Social Programme - Please mark attendance Reception at City Hall, June 29th incl Conference dinner, June 30th incl Excursion, Þingvellir, July 1st incl Hotel deposit, per room *) in total DKK
Accompanying guest(s) 1.250 Included: Reception at City Hall, conference dinner at "Perlan", excursion w/dinner and transport as per programme. Social Programme - Please mark attendance Reception at City Hall, June 29th incl Conference dinner, June 30th incl Excursion, Þingvellir, July 1st incl Hotel deposit, per room *) in total DKK
Hotel reservation:
Hotel description Hotel reservation per night Single room Double room Hótel Saga 1.190,- 1.476,- Hótel Loftleiðir 825,- 1.094,- Hótel Reykjavík 745,- 976,- Hótel Höfði 550,- 770,- Guest House rooms* 360-510,- 530-730,- Private accommodation* 315,- 430,- * without private facilities
Please reserve hotel at: 1st priority: Hótel Saga Hótel Loftleiðir Hótel ReykjavíkHótel HöfðiGuest HousePrivateNone 2nd priority: Hótel Saga Hótel Loftleiðir Hótel ReykjavíkHótel HöfðiGuest HousePrivateNone No. of single rooms: No. of double rooms: I do not requrire a hotel Arrival date at the hotel: Departure date from the hotel: Special wishes: If you share a room with another participant, please secure that this person has registered for the conference, and state his/her name here:
Payment: All payments must be made in Danish Kroner (DKK) only to the order of NORDUnet '97, c/o ITB Congrex. Please remember to state participant's name and NORDUnet '97 on all payments.
The total payment is DKK Payment method:
Bank transfer
Bank: The National Bank of Iceland Bank no.: 0101 Account no.: 26-006062 Id. no.: 680988-1539
ITB CONGREX - Iceland Tourist Bureau Skógarhlíð 8 101 Reykjavík Tel. 354-562 3300 Telex -2049 Fax 354-562 3345
Reset the entire form: Submit Registration form: (kindly wait for acknowledgement)