Delegate: Mr.
Ms.
Dr.
Prof
Other
Last Name:
First Name:
Institution:
VAT Number (for invoicing)
Address :
City:
Postal Code:
Country:
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Tel:
Fax:
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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
€
*20 0
€
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
€
49 0
€
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
Holiday Inn Continental
Vip Zurique
Vip Berna
Choose a Hotel
2nd
Choice
Holiday Inn Continental
Vip Zurique
Vip Berna
Choose a Hotel
Single Double
Arrival
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month
April
May
June
/06 -
Departure
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month
April
May
June
/ 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
Turismo de Braga
Caranda
Lamaçães *
Choose a Hotel
2nd
Choice
Turismo de Braga
Caranda
Lamaçães *
Choose a Hotel
Single Double
Arrival
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month
April
May
June
/06
-
Departure
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month
April
May
June
/ 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
Month
01
02
03
04
05
06
07
08
09
10
11
12
/
Year
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
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 :
_______________________________