*** ISCL 2002 registration form ***

	   Please return this form to iscl02@cs.unipr.it

First  Name:
Family Name:
Middle initials:

Institution:
Address:
Email:
Telephone:
Fax:
Homepage:

Age:
Sex:
Position:
Supervisor (if applicable):

Please give a short (one or two lines) statement about
your research interests:




			       PAYMENT

Please complete the following information regarding your payment.

Early registration (before May 15th) (closed)
   double room (900 Eur):		____ Eur
   single room (1000 Eur):		____ Eur
Late registration (after May 15th)
   double room (1000 Eur):		____ Eur
   single room (1100 Eur):		____ Eur

Accompanying persons:
    double room (500 Eur):              ____ Eur
    single room (600 Eur):		____ Eur
    children under 6 (250 Eur):		____ Eur
    children between 6 & 12 (350 Eur):	____ Eur
(For babies and very young children, please contact the organizers.)

TOTAL transferred:			____ Eur


Payments should be made by bank transfer to GULP:

Account no.: 11254
Bank: Banca Popolare di Novara
Address: Corso Italia 61, Pisa, Italy
CAB: 14000
ABI: 5608
SWIFT: NURB IT 2NA860

Please notify the organizers at
iscl02@cs.unipr.it
as soon as the transfer has been made.

Note that to benefit from the early registration reduced fee you must
make the payment before June 28th.