<p> ICNP 2002 CONFERENCE November 12-15 2002 Paris-France </p><p>REGISTRATION FORM to fill in block letters and return before October 12th 2002</p><p> to CARLSON WAGONLIT EVENEMENTS Département "Congrès" 16 rue Ballu - 75009 PARIS Phone 33 (0) 1 55 07 26 10 - Fax 33 (0) 1 55 07 26 15 Email : [email protected]</p><p>CONGRESSISTES/DELEGATES  M  Mrs  Miss LAST NAME First Name Affiliation Title/Job fonction Address City Zip code Country Phone Fax Email IEEE Member ID : Special needs : vegetarian / Kosher / Vegan Other needs : Do not include my name , address and email id in the conference attendee listing :</p><p> REGISTRATION FEES</p><p>PLEASE NOTE tutorial registration fee includes tutorial notes and lunch on the day of the tutorial. There is a special rate if you sign up for 2 tutorials. Conference registration fee includes one copy of the conference proceedings, coffee breaks and lunchs on Wednesday, Thursday and Friday, Tuesday’s reception and Thursday banquet and cruise on the river Seine. The cut off date for preregistration is November 5,2002. After this date you must register on-site.</p><p>REGISTRATION FEES Before15/10/02 After 15/10/02 IEEE Member 440 € 530 € Non Member IEEE 550 € 670 € Full student 310 € 370 € Simple Student (no lunch, no banquet – only proceedings) 50 € 70 € TUTORIALS Please mark your choice(s) :  A  B  C  D 1 Tutorial IEEE Member 125 € 150 € 1 Tutorial non member 155 € 180 € 1 Tutotrial students 50 € 50 € 2 Tutorials IEEE Members 187,5 € 250 € 2 Tutorials non member 232,5 € 310 € 2 tutorials students 75 € 100 €</p><p> ACCOMMODATION</p><p>Please reserve  twin bed room(s) for 2 persons  single room(s) in an hotel of category stars from to a.m. for night(s) average rates per room and per night - room only basis, taxes and services included hotel category price compulsory hotel deposit per room 2 ** Single/Double 90 € 90 € 3 *** Single 91,50 € Double 117 € 117 € the hotel deposit will be transmitted to the reserved hotel for reservation fees and deducted from your final bill which should be settled before departure.</p><p> PAYMENT Total €</p><p> registration fees € x = €</p><p> Tutorials € x = €</p><p> hotel deposit € x = €</p><p>TOTAL = €</p><p>Please find enclosed  cheque payable to CARLSON WAGONLIT EVENEMENTS C.S.V.T.  I duly authorise you to charge my VISA INTERNATIONAL – EUROCARD/MASTERCARD </p><p>N°______EXP _ _/_ _</p><p>VERY IMPORTANT no reservation will be made if the present form is not accompanied by the corresponding payment.</p><p> CANCELLATION before october 12th refund less € 50 cancellation fees + hotel deposit after october 12th No refund</p><p>I have duly noted the registration and cancellation regulations and accept the conditions</p><p>Date Signature</p><p>* please cross the appropriate square</p>