Registration

Paul Scherrer Institut

hans.sigg@psi.ch

Registration ITQW 2003, 01–05/09/2003, Evolène, Switzerland

	Dr. Prof. Mr. Ms.
First Name
Surname
Department
Institute
City, Postcode
Country
E-Mail
Phone Number
Fax Number

Read Information for Registration (pdf)

Accommodation
Single** Single* Single Student	Double** Double Student Studio/Chalet 2	Studio/Chalet 3 Studio/Chalet 4 No reservation needed

Arrival
Sun 31/08	Mon 01/09	Tue 02/09	Wed 03/09	Thu 04/09	Fr 05/09

Departure
Sun 31/08	Mon 01/09	Tue 02/09	Wed 03/09	Thu 04/09	Fr 05/09

Conference fee
Regular CHF 400.– Student CHF 200.–	Regular (after 2003/08/01) CHF 500.– Student (after 2003/08/01) CHF 300.–
Prepayment Hotel CHF 100.–		Total CHF .–

I will send credit information by fax (+41 56 310 26 46)
I will send a bank transfer (address see below)

Remarks

Credit Card Informtion is NOT transmitted to us. For fax only!
VISA	ACCESS	MASTERCARD
Card Number
Card Holder Name
Expire Date	-

1 Register	2a send fax	2b send bank transfer (only in CHF, costs for sender)
Send by e-mail your Registration to: Conference Secretary (edith.meisel@psi.ch)	Copy your Registration and send by fax to: Paul Scherrer Institut Edith Meisel Fax +41 56 310 26 46 Phone +41 56 310 28 14	Bank: Account number: Bank Code number: Swift Code: Account holder: Indicate:	Raiffeisenbank Böttstein 5314 Kleindöttingen Switzerland 63912.12 80652 RAIFCH22 Paul Scherrer Institut CH-5232 Villigen PSI Name of Participants, ITQW2003