--------------------------------------------------------------------------- NORDUnet '97 Conference in Reykjavik, Iceland June 29 - July 1st 1997 --------------------------------------------------------------------------- Registration form NORDUnet '97 Please fill in carefully and send by e-mail to sigjons@isnet.is By mail or fax to: Sigurdur Jonsson Internet a Islandi - INTIS Tæknigardi Dunhaga 5 107 Reykjavik Iceland 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: [ ] --------------------------------------------------------------------------- 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 3.500 3.500 Before April 15th, 1997 [ ] Conference participant 4.500 4.500 After April 15th, 1997 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. [ ] 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 29 incl [ ] Conference dinner, June 30 incl [ ] Excursion, Þingvellir, July 1 incl Hotel deposit, per room *) [ ] in total DKK [ ] *) Hotel deposit is DKK 1.000,- --------------------------------------------------------------------------- Hotel reservation: (For hotel description: http://www.isnet.is/nordunet97/register/hotels.html) 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 * No rooms can be confirmed until ITB-Congrex has received your hotel deposit * Breakfast and VAT are included in the hotel prices * Please indicate your choice of hotel, stating first and second choice Please reserve hotel at: 1st priority: [ ] 2nd priority: [ ] 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 amount is DKK [ ] Payment method: [ ] Bank transfer Bank: The National Bank of Iceland Bank no.: 0101 Account no.: 26-006062 Id. no.: 680988-1539 [ ] Send invoice to: Id.no., name, postal address [ ] [ ] [ ] [ ] [ ] Cheque or banker's draft. [ ] VISA [ ] Euro/Mastercard Credit Card Number [ ] Expiry date [ ] If paying by credit card please print out this form an mail or fax to: ITB CONGREX - Iceland Tourist Bureau Skógarhlíð 8 101 Reykjavík Tel. 354-562 3300 Telex -2049 Fax 354-562 3345 with your signature for confirmation: _____________________________________ Signature * Make sure to indicate ITB-Congrex, Iceland Attn.: NORDUnet '97 and your name on all money transfers * We regret not to be able to accept personal, company or Euro cheques * No refunds will be made after May 29, 1997 --------------------------------------------------------------------------- sigjons@isnet.is Last updated on 19.02.1997