Transcript Registration form - DDSS 2014 Conference

Please fill out in capitals and send by email:
E-mail: [email protected]
Eindhoven University of Technology
Department of The Built Environment
P.O. Box 513 - VRT 8.08
5600 MB Eindhoven, The Netherlands
REGISTRATION FORM
12th International Conference on
DESIGN & DECISION SUPPORT SYSTEMS
IN ARCHITECTURE AND URBAN PLANNING
Eindhoven, The Netherlands
August 25th-27th, 2014
I Participant Information
Surname:
First name:
Title:
University/Company:
Address:
City:
Zip/Postal Code:
Country:
Telephone:
Telefax:
Email:
II Registration
Conference fees: please fill out the amount you will pay in the column on the right.
Before 1 April, 2014
After 1 April, 2014
495 Euro
625 Euro
The fee includes welcome reception, all meals, coffee and tea, proceedings and administration costs.
Registration fees should be paid by bank transfer before 1 April, 2014 to: DDSS conference, Rabo bank
account number 1011 54 356 Raadhuisstraat
6,
Aalst-Waalre, The
Netherlands
IBAN: NL17RABO0101154356 / Swift code: RABONL2U
Please make sure to mention your name and affiliation on the bank transfer form.
Cancellation
Written notification of cancellation must be sent to [email protected] . For cancellations received before 15 April,
2014 there will be a cancellation charge of 100 Euro per person. No refund can be made after 15 April, 2014.
Date:
Signature: