Registration Form for LPAR in Jamaica

FAX to: Franziska Gusel +43 1 5880118597.
Personal Information
Name (for name tag)  
Affiliation  
Postal address  

 

 

 

Email address  
Registration Choice
Fill in the amount for only one option
Regular early registration
(by 7th November)
EU425  
Regular late registration EU500  
Student early registration
(Lower fee thanks to Microsoft)
EU300  
Student late registration EU350  
ESHOL only registration EU100  
Students must include a copy of their student card in the FAX.
Payment
Credit card type Visa or MasterCard:
Credit card number  
Expiry date  
Name on card  
Signature  

 

Date  


Jamaica ... Land of LPAR and Reggae