LSC/VIRGO joint meeting september 2008

plenary meeting

22-25 september 2008
de Duif / 'the Dove'
Prinsengracht 756
Amsterdam

Face2Face meetings

20-21 september 2008
Science Park Amsterdam

conference office

Nikhef
Attn. Mrs Els Dekker
PO Box 41882
1009 DB Amsterdam
phone: +31 20 592 5003
Fax: +31 20 592 5054

Registration Form

Important - book your hotel soon!

Amsterdam is very popular as a conference city, especially in the month of September, and hotel space may be limited and expensive in this period.

Please return as soon as possible

Contact Information

	Mr Ms Mrs
Family Name:
First Name:
Organization:
Address 1:
Address 2:
City:
Postal code:
State:
Country:
Email:
I arrive on	September
I depart on	September

Payment

I wish to register as a participant of the Meeting

	Registration fee (plenary)	€ 350.–
	Face2Face meeting fee (Saturday 20 Sept.)	€ 38.–
	Face2Face meeting fee (Sunday 21 Sept.)	€ 38.–
	Meeting Dinner (Wednesday 24 Sept.)	€ 45.–
If you have any dietary requirements (i.e. vegetarian/kosher/halal/etc.), please type them in the remarks box at the bottom of the form.

I wish to book a hotel room in the Ibis Amsterdam Centre for the following nights (€ 120.– per night, breakfast included). I will pay the room costs directly to the hotel.
Note that all rooms can accommodate two persons. If you wish to share rooms, please indicate this in the Remarks section below and list the name of the person with whom you are sharing.
Please note that there are still some rooms available at the special rate.

	Friday night 19 September (possible arrival day)

	Saturday night 20 September (Face2Face meeting / possible arrival day)
	Sunday night 21 September (Face2Face meeting / possible arrival day)

	Monday night 22 September (plenary meeting)
	Tuesday night 23 September (plenary meeting)
	Wednesday night 24 September (plenary meeting / dinner)
	Thursday night 25 September (plenary meeting)

	Friday night 26 September (possible departure day)

I will pay the total amount of € by remitting the amount to the Fortis Bank Nederland, Bank Indentifier Code (BIC) FTSBNL2R, IBAN NL72 FTSB 0642 3835 96, Account Number 64.23.83.596 in favour of "Stichting FOM".

Please state "NIKHEF-LSCVIRGO" and the full name of the participant on the bank transfer! Please remember that payments must be made in Euro (EUR) and that your bank's fees for the transferred payments must be paid before sending your wire such that the amount received by the beneficiary is free of additional charge.

Remarks

If you have any dietary requirements (i.e. vegetarian/kosher/halal/etc.), please type them in the remarks box. please type any remarks here