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REGISTRATION FORM

Some help to guide you through the registration procedure can be found in the Registration Procedure.

1. Personal information

Title(s):
First Name(s):
Family Name:
Email ("user@domain";):

Please complete at least one (work/home) of the address boxes below:

Work Address
Institute:
Street: Number:
City: Postal Code
Country:
Phone: Fax:

Home Address
Street: Number:
City: Postal Code
Country:
Phone: Fax:

2. Registration fees

2.1 Price Category

Please check the appropriate price category (student/scholar/industrial) for your ESSLLI registration fee.

  Reduced Rate
(until April 30, 1999)		 Full Rate
(from May 1, 1999)
 Student

NLG 350,-

EURO 159,091

NLG 450,-

EURO 204,545
 Scholar

NLG 500,-

EURO 227,273

NLG 700,-

EURO 318,182
 Industrial Affiliate

NLG 900,-

EURO 409,091

NLG 1200,-

EURO 545,455
 Lecturer

NLG 0,00

EURO 0,000

NLG 0,00

EURO 0,000

2.2 Reduced fees

Speakers in the student session and in workshops are entitled to the reduced fee.
Will you be speaking in either of those? No Yes

2.3 FoLLI discount

As a FoLLI member (see the FoLLI-homepage) you are entitled to a discount of NLG 25,- / EURO 11.364 on your ESSLLI registration fee. Membership costs NLG 90,00 per year (NLG 65,00 for students).

Are you a FoLLI-Member? No Yes Register now!

2.4 Formal Grammar registration

In combination with my ESSLLI99 registration, I would like to register for the Formal Grammar Conference. The registration fee of NLG 50,-/EURO 22.727 includes a copy of the proceedings.

3. Accommodation

Details about the available accommodation facilities can be found on the Accommodation page. Please consult it first!

Day of arrival:
Day of departure:
Student accommodation Friday 6 - Saturday 21 August (NLG 450,00)
Sunday 8 - Saturday 21 August (NLG 410,00)
Strowis Hostel
 3-Bedded room (NLG 33/night)
8-Bedded room (NLG 25/night)
12-Bedded room (NLG 20/night)
If you share a room with other ESSLLI participants, please provide their names here.
Own arrangements (i.e. Hotel, Youth Hostel Rhijnauwen or other.)

4. Method of payment

Bank charges at our end are specified in the table below and included in the total amount we charge you when you submit the form. If we don't receive the complete fee we will have to cash the difference on your arrival.

Please tick your method of payment:

Method of Payment ESSLLI charges? Details
Bank Transfer No

Giro account: 564085
Utrecht University, Faculteit der Letteren, Utrecht

Please state "ESSLLI99" as well as your name and address, and mention "Our Cost Construction".

If you pay by bank the swiftcode is ABN ANL 2A, c/o Postbank NV, Amsterdam.
If you pay by giro the swiftcode is INGBNL2A, c/o Postbank NV, Amsterdam.
EuroCheque No

EuroCheque (max. NLG 300,- per cheque!) or money order made out in NLG or EURO, payable to ESSLLI 99
Reference: ESSLLI 99 fee for "your name".
(Make sure to put down your name so that we know who has paid his/her fee.)

International Money Order No
Eurocard / Mastercard 6%
Card holder's name:

Card holder's address (only if different from home address):

Card number:

Expiration date:
VISA 6%
Cash DFL 40

Only if the above mentioned methods of payment are inconvenient it will be possible for you to pay cash on arrival. You will have to pay the late registration fee and book a room yourself.

5. Cancellation policy

For cancellations received before June 15th, 1999 we will charge 30% of the registration fee.
For cancellations received after June 15th, 1999 we will charge 50% of the fee.

6. Preliminary course preferences

Please complete the following form to help us in reserving appropriate teaching facilities. Completing the form does not commit you to actually take these courses: you can always change your mind!

WEEK 1
9.00 - 10-30
11.00 - 12.30
14.00 - 15.30
17.00 - 18.30
WEEK 2
9.00 - 10.30
11.00 - 12.30
14.00 - 15.30
17.00 - 18.30

After you have pressed the 'Validate form' button we will run some checks on the data you have filled in. We will present your data in a new window so that you can verify them.