8 – 10 May 2006, Lisbon – Portugal
11– 12 May 2006, Braga – Portugal

Please complete this form and return with payment, to:
Viagens Abreu S.A. - Congress Department At: Madalena de Almeida
Avenida 25 de Abril, 2 – 2799-556 Linda-a-Velha – Portugal
Phone : +351 21 415 6121 • Fax : +351 21 415 6383 • Email : malmeida.lisboa (a) abreu.pt
Early Bird Registration Now Closed

NOTICE :
BUGS HAVE BEEN REPORTED BY USERS OF MOZILLA FIREFOX AND NETSCAPE.
TO FILL IN THE FORM PLEASE USE INTERNET EXPLORER OR REGISTER USING FAX AVAILABLE
HERE WHILE THIS PROBLEM IS BEING FIXED.
Sorry for the inconvenience.

Delegate:  Mr.    Ms.    Dr.    Prof    Other
Last Name:   First Name:
Institution:
VAT Number (for invoicing)
Address:
City:    Postal Code:         Country:
Tel:     Fax:        eMail:
IEEE Member   Eurographics Member    ACM Member None
Member Number 

(required for reduced registration fee - IEEE members: Only for EuroVis OR joint registration)

 

Registration
Prices below include entrance to the conference(s), proceedings and social event(s) except in cases noted * and ¥ which are explained below.
Please mark the box next to your option:

[1]

Member IEEE

Member EG/ACM

Non-member

Student Member/Life Member

Student Non-member

EUROVIS 2006

Before 31st March

 

200 €

 

200 €

 

300 €

 

*150 €

 

*200

After 31st March

 

250 €

 

250 €

 

350 €

 

*200

*250 €

EGVE 2006

Before 31st March

 

300 €

 

200 €

 

300 €

 

*150 €

 

*200 €

After 31st March

350 €

250 €

 

350 €

*200

*250 €

Eurovis 2006 + EGVE 2006

Before 31st March

 

350 €

 

350 €

 

580 €

 

300

 

390 €

After 31st March

450 €

 

450 €

 

680 €

 

400 €

 

490 €

EGPGV 2006

Before 31st March

 

 

 

290

 

380

 

¥240 €

 

¥285 €

After 31st March

 

 

 

340€

 

430 €

 

¥290 €

 

¥335 €

Eurovis '06 + EGVE 2006 + EGPGV 2006

Before 31st March

 

 

 

610 €

 

930 €

 

¥510

 

¥645 €

After 31st March

 

 

 

760

 

1.080 €

 

¥660 €

 

¥795 €

EGPGV 2006 + Eurovis 2006

Before 31st March

 

 

 

470

 

660 €

 

¥370 €

 

¥465 €

After 31st March

 

 

 

570 €

 

760

 

¥470 €

 

¥565 €

EGPGV 2006 + EGVE 2006

Before 31st March

 

 

 

470 €

 

660€

 

¥370 €

 

¥465 €

After 31st March

 

 

 

570€

 

760

 

¥470 €

¥565 €

 

* Social event not included; proceedings included
¥
Social event included; proceedings not included

Members, Students EGPGV06 and/or Joint Registration: Please confirm Banquet attendance
(included in the registration):
I am attending the banquet in Lisbon
I am attending the banquet in Braga 

Food Requirements (if any)

 Banquet Registration for Non Members and Students EGVE06/EUROVIS and Guests
(includes transportation to the venue)

[2]

LISBON EVENT: Number of persons X 60€ :
BRAGA EVENT: Number of Persons  X 60€
:

                           
(A)  Sub-total [1 + 2]  

 

Hotel Reservation in Lisbon (EuroVis, EGVE)
All prices are in Euros / per room / per night / including buffet breakfast.
 

HOTEL

CATEGORY

           SINGLE                        DOUBLE

Holiday Inn Continental

****

€ 87,00

€ 97,00

Vip Zurique

***

€ 65,00

€ 72,00

Vip Berna

***

€ 54,50

€ 60,50

 

Please reserve my Accommodation in the following Hotel:

        1st Choice  2nd Choice     Single   Double

 Arrival //06      -      Departure //06          Total Nights:

                          (B1)  Sub-total €
Hotel Reservation in Braga (EGPGV)
All prices are in Euros  / per room / per night / including buffet breakfast.

HOTEL

CATEGORY

           SINGLE                        DOUBLE

Turismo de Braga

****

€ 55,50

€ 67,50

Caranda

***

€ 34,00

€ 43,00

Lamaçães*

***

€ 36,00

€ 43,00

     * - within walking distance of the conference site

Please reserve my Accommodation in the following Hotel:

        1st Choice  2nd Choice         Single   Double

Arrival //06       -    Departure / /06          Total Nights :
             (B2)  Sub-total € _

We will provide an alternative similar hotel if the above choices are fully booked.

 TOTAL € [A+B1+B2]

Method of Payment

Please complete all the fields:

CREDIT CARD

Visa Mastercard Amex Diners

Expiry Date
/ Owner
Address :


ATTENTION:
This is not a secure site. For security reasons, after  clicking the 'SUBMIT' button on the bottom of the page, print the resume form, fill in the remaining information on your credit card and fax  to +351 21 415 6383. Your registration will be accepted pending confirmation of the credit card data.

If you prefer to submit the payment directly, please fill in the following boxes. Be advised we do not keep record of your credit card number in any data base.

Credit Card number
CVV Code (last 3 numbers on the back of the card)

BANK TRANSFER to :  Banco B.P.I., SA

         Viagens Abreu, SA -  Centro de Empresas, Porto, Portugal
         Account number : 6-1292463/000/001
         IBAN nr.PT.50001000001292463000131
         Swift Code : B B P I P T P L
         NIB 001 00 000 1292463 000 131
         Refª: EUROVIS 2006

 ATTENTION: In this case, please send us a copy of the Bank Transfer together with the Registration Form

BOOKING & PAYMENT CONDITIONS

The payment must accompany this Application Form. Without the payment the hotel reservation can not confirmed.
After April 3, Abreu can not assure hotel availability.
Viagens Abreu will send you confirmation by fax, letter or email.
Changes in reservations will be subject to an administration charge of € 15
Cancellations between 4 weeks and 2 weeks prior to the arrival will merit 50% refund
Cancellations less than 2 weeks prior to the arrival will not merit a refund
Emergency cancellations (for eg illness, death of a relative or birth of a baby ….) can be refund 100% if duly proved
Notice of any cancellation/change must be sent in writing
Extra expenses in the Hotels must be paid directly


Date :             Signature : _______________________________