page 1 | page 2 | hotel reservation | abstract form REGISTRATION FORM (Please return as early as possible) Deadline: registration + submission of abstract is May 30. 1999! Please use one separate registration form/copy for each participant. If needed, please download this form and send it to us Title: .............................................................................. Name (First / last): .............................................................................. Affiliation: .............................................................................. Mailing Address: .............................................................................. .............................................................................. .............................................................................. Phone: .............................................................................. Fax: .............................................................................. E-mail: .............................................................................. Name of accompanying person(s): ....................................... O Invited speaker O I am planning to contribute a poster presentation (1/2-page abstract must be submitted by May 30, See Web-page for details). Posters: see reverse side for title and topic! Registration Fees Participant DM 400 US$ 250 Accompanying person(s) DM 60 US$ 40 Total amount DM ...... US$ ..... Payment of "Total amount" (all bank charges must be pre-paid) by: bank transfer (*) or cheque (#) (In both cases amount either in DM or US$ currency) Make cheques or transfer payable to: (*) Landeszentralbank Konstanz (BLZ 690 000 00) Kto. 690 015 04, FP 511-99 Flavin [SWIFT-Code: MARKDEFF] (#) Must be included with Registration. Use preferably Euro-cheques. Make payable to: "Universität Konstanz, Flavin Congress" Note: The price of Proceedings book is included in the registration fee (‰$ 100). Accommodation: see second page for details Date: ................. Signature: ....................................... Mail/Return to:: Dr. Sandro Ghisla Universität Konstanz Fak. Biologie M644 D-78457 Konstanz, Germany Tel: +49-7531-88-2291 Fax: +49-7531-88-4161 (or -2966) E-mail: Sandro.Ghisla@uni-konstanz.de Please see the Web-page of the congress for further informations page 2 >>
		Last update by Jens Grabenstein