REGISTRATION and PAYMENT for DIS99

Registration

Unless you give a talk we are not able, unfortunately, to accept further participants.

Please read again the comment on the "general information" page
on final confirmation after the registration deadline.

Name
First Name
Affiliation/ Institute/ University
Affiliation on badge (if different)

Address for proceedings
Street
ZIP Code
City
State
Country Comment on Visa Requirements

/ / Tel.
/ / Fax
E-mail

Arrival Date (dd/mm/yy)
Departure Date (dd/mm/yy)

Additional Questions or Comments


Payment of the conference fee

Registration fee includes
Payment will be by:
Deposit in the Account:
    Bankinstitut : Sparkasse Dahme/Spreewald
    To : DESY Zeuthen
    Account : 2152300990
    Bank code (BLZ) : 16050888
    Keyword : DIS99 - Please indicate also your name
Eurocard / Master Card Visa
Card number
Valid till
Card holder name
A banker's check in DEUTSCHE MARK which can be sent (air mail) to
DESY Zeuthen - Frau Lorenz, Postfach, D-15735 Zeuthen.
If you have no other possibility, you can also pay cash on arrival
at the late payment rate of 600,00 DM.
Reimbursement:

Click here to all fields.
the filled registration form.
You will get a confirmation on the screen and an e-mail.

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