*******************GSICE 2006 Registration Form*********************

PARTICIPANT DATA

First Name:
Last Name:
Institution:
Address:
Email:
Phone:
Fax:
Status:        (S=Student   P=Student presenting a paper  R=Regular)

DINNER

I will participate in the post-workshop dinner on September 15:   (Y/N)

LODGING  (N.B.  DEADLINE FOR REQUESTS is AUGUST 20)

I would like to reserve a room on September 15:    (Y/N)
I would like to reserve a room from September 12 to September 15:      (Y/N)
I am willing to share the room:        (Y/N) 
I would like to share the room with: 
Special requests:

Very  few  double rooms  are  available for  36  Euros  per night  per
(double) room and will be assigned on a first-come first served basis.
Authors   presenting  papers  will   have  higher   priority.   Single
accommodation (double  room used as  single) requests will  have lower
priority and will very unlikely be satisfied.


REGISTRATION FEES

Status                        Advance reg.    On-site
---------------------------------------------------------
Students:                   |   FREE (*)  |   FREE (*)  |
Students presenting a paper |   30 Euros  |     N.A.    |
Regular:                    |   50 Euros  |   70 Euros  |
Dinner (approx.):  (**)     |   25 Euros  |   25 Euros  |
---------------------------------------------------------
NB Fees can only be paid cash on the day of the workshop.

(*) if supported by a request from their supervisor.

(**) For  organization reasons, we can guarantee  participation in the
dinner only to  those who register by the  early-regitration date. All
others will be admitted on a first-come first-served basis, subject to
availability of seats.