International Conference on
Reliable Software Technologies
Ada-Europe'97

Registration application

Please print this form out and post/fax it to us

please print or type

Title, Forename & Surname
Name as you wish it to appear on your badge
Affiliation (Company or Institution)
Address (including Postcode and Country)
Telephone Fax
E-Mail Speaker ¨ Tutorial Presenter ¨
Special requirements (e.g. diet)

Booking: Please tick (or complete where appropriate) the relevant boxes for your registration.

Fees are shown in UK pounds sterling (£). The fee quoted includes UK tax (VAT) which is payable by all delegates. The fee exclusive of tax is shown in brackets. A tax invoice will be provided for each registration. CANCELLATIONS must be in writing. A cancellation fee of £50 will be applied to all cancellations. All refunds will be made following the Conference. No refunds will be given for cancellations postmarked after 9 May 1997. Substitutions will be accepted.

Conference inc. breaks/lunch Early booking before 2 MayStandard booking fee Tutorials inc. breaks/lunchEarly booking before 2 May Standard booking fee
¨ Full Conference (£348.94) £410(£425.53) £500 ¨ Gerhardt/Locke (£212.77) £250(£255.32) £300
¨ Academia (3 days) (£255.32) £300(£425.53) £500 ¨ Feldman (£212.77) £250(£255.32) £300
¨ Any one day (£212.77) £250(£212.77) £250 ¨ Taft (½ day) (£106.38) £125(£127.66) £150
Specify day/s¨ Tues ¨ Wed ¨ Thurs ¨ Kermarrec et al (½day) (£106.38) £125(£127.66) £150
¨ Conference dinner (£22.98) £27(£25.53) £30 ¨ Strohmeier/Wolf (£212.77) £250(£255.32) £300
Number of attendees x £27 x £30¨ Kempe (£212.77) £250(£255.32) £300
¨ Extra Proceedings £40£40¨ Colbert (£212.77) £250(£255.32) £300
¨ Patterns WG If not already £42 ¨ Barnes/Carré (£232.77) £270(£275.32) £320
Fee/s to pay££ Tutorial fee/s to pay£ £
Total Fees Payable£

¨ Tour of Tower Bridge (included in Conference fee) ¨ "The Maiden and the Mandate" (included in Conference fee).

PAYMENT

¨ Cheque, made payable to Ada Language UK Ltd in UK pounds sterling, drawn on a UK bank, attached.

¨ Bank transfer. Bank: Lloyds Address: 2 Pavement, York, YO1 2NE. Bank sort code: 30-99-99

Account name: Ada Language UK Ltd. Account number 0266337.

Clearly indicate delegate name and company on the remittance advice.

¨ Credit card (American Express cannot be accepted for Conference Registration) ¨ MasterCard ¨ Visa

Name on card Expiry date
Card number
Address (if different from above)
Signature

¨ Official Company purchase order attached

Please return by post or fax to:
Ada-Europe'97 Conference, c/o Ada UK, PO Box 322, York YO1 3GY.
Fax: +44 (0)1904 426702.
E-Mailed applications cannot be accepted.