<p> COV&R 2003 University of Innsbruck, Austria June 18-21, 2003</p><p>Conference Registration Form</p><p>IMPORTANT: Please complete and mail both the General and Summary sections that follow.</p><p>A. General Information</p><p>Name (first name/last name): ______Institutional Affiliation: ______Address: ______City: ______Zip/Postal Code Number: ______State/Country: ______Phone # (s): ______FAX #: ______E-mail Address: ______Special needs: ______</p><p>I want to pay via (details see next page): Credit Card Money Transfer</p><p>Credit Card Information: (MasterCard or Visa only) MasterCard Visa</p><p>Card Holder: ______Credit Card Number: ______Expiration Date: ______Cardholder’s Signature: ______</p><p>B. Summary Costs and Fees</p><p>Name: ______Conference Registration Fee: 70 EUR / regular price Conference Registration Fee: 60 EUR / COV&R members Conference Registration Fee: 30 EUR / students (confirmation of inscription required) Lunch (Thu, Fri, Sat): 25 EUR (for 3 meals) regular vegetarian</p><p>Total Enclosed: € ______Signature: ______Date: ______Registration Fee: This fee includes the cost of the breaks throughout the conference and entitles to take part in all the receptions during the conference.</p><p>Meal Program: Lunch is provided in the campus restaurant (25 EUR for three meals: Thu, Fri, Sat). Dining will be on a cash basis in local restaurants a few steps away from the conference site in the Old Town of Innsbruck.</p><p>Registration Deadline: April 30, 2003. Please note that after this date we can only offer you on-site registration for which we have to charge 90 EUR. Furthermore we would like to inform you that we have to charge 30 EUR (Students 15 EUR) for any cancellations after May 31, 2003.</p><p>Payment: We can offer you two terms of payment: Credit Card or Money Transfer. We are not able to take any forms of checks, because cashing this checks often causes troubles and very high extra costs. We would prefer credit card payment due to easy handling and very low extra charges. We will not cash your credit card before the registration deadline is ending. Any money transfers should be done until April 30, 2003.</p><p>Credit Card: We are able to accept both VISA and MASTERCARD. Please use the registration form above to send us your credit card details.</p><p>Money Transfer: Please make your money transfer without any banking charges to the beneficary (!) to: Institut f. Systematische Theologie, c/o COV&R, Karl Rahner Platz 1, A-6020 Innsbruck / Austria Account number: 93.012.689 Banking institution: Österreichische Postsparkasse Bank code number (BLZ): 60.000 IBAN: AT10 6000 0000 9301 2689 BIC: OPSKATWW</p><p>Special Needs: Please indicate in the registration form above if you have any special needs such as dietary restrictions or any kind of disability for which you may require assistance.</p><p>Hotel Accommodations: The university of Innsbruck has no Campus Housing, but we can offer you two opportunities for lodging during the conference:  low priced single and double rooms in two (just renovated) catholic education and meditation houses (single rooms from 28 to 42 EUR, double rooms from 18,70 to 36,50 EUR per person per night, breakfast inclusive; Attention: limited availability!)  single and double rooms in various hotels (single rooms from 40 to135 EUR, double rooms from 39,50 to 95 EUR per person per night, breakfast inclusive) For detailed accomodation information and reservation procedure visit: http://theol.uibk.ac.at/cover/events/innsbruck2003_accomodation.html Travel Information: For general travel information visit: http://theol.uibk.ac.at/cover/events/innsbruck2003_travel_information.html </p><p>Mailing Instructions: Please fill out the registration form (first page) and send it either via: o E-Mail to: [email protected] o Or FAX: ++43 512 507 2761 o Or postal mail to: Institut für Systematische Theologie, c/o COV&R, Karl Rahner Platz 1, A- 6020 Innsbruck / AUSTRIA.</p><p>If you need further information about the registration please contact by E-mail: [email protected] or call: ++43 512 507 8588, or FAX: ++43 512 507 2761.</p>