ICHMT: RADIATION-2001 Registration and Room Reservation Form

RADIATION 2001

ICHMT Int. Symposium on Radiative Transfer

17-22 June, 2001

REGISTRATION AND ROOM RESERVATION

Family Name:

________________________

Other Names:

___________________________________

Affiliation & Address:	___________________________________________________________________
	___________________________________________________________________
	___________________________________________________________________

Tel:

______________

Fax:

______________

E-Mail:

___________________

[ ] Request bound paper copy of the Symposium Proceedings at an extra charge of US$ 30 to be paid on site

[ ] Accompanied by

Spouse and _______ children aged _________

Room Request in Merit Limra: _____ nights from: / / 2001 to: / / 2001

[ ] Single Rm [ ] Double Rm [ ] Triple Rm

[ ] Shared by family [ ] Shared by another participant(s)

Full name of the other participant(s) if you have a preference: ____________________________________
Date: _____________________________

Registration fee $ ______ [ ] I enclose a bank check payable to Faruk Arinc; or
Accommodation ( ____ nights x US$ ______ = ) $ ______ [ ] I enclose a copy of the bank transfer document; or
Total $ ______ [ ] Please charge my credit card for the total amount

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CREDIT CARD PAYMENT

Please charge ________ US Dollars to my: [ ] Visa [ ] MasterCard [ ] Eurocard

Card Number: ____ ____ ____ ____ ____ ____ ____ ____
Expiry Date: ___________________
Signature: ___________________ Date: ___________________

Name as shown on Credit Card: ____________________________________

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TRAVEL SCHEDULE

Family Name: _________________ Other Names: __________________________
I request transportation
[ ] From Antalya Airport to Merit-Limra [ ] From Merit-Limra to Antalya Airport
Arrival Date: _______________ Departure Date: _______________
Time: _______________ Time: _______________
Flight No: _______________ Flight No: _______________
From: _______________ To: _______________
(last point of departure) (first destination)
Number in party : ________
Name(s) of accompanying person(s): _____________________________________

This form is to be printed, filled out and sent to ICHMT Secretariat by fax (+90-312-210 1331), email (arinc@metu.edu.tr), or snail mail.

Full name of the other participant(s) if you have a preference:	____________________________________
Date: _____________________________

Registration fee	$ ______	[ ] I enclose a bank check payable to Faruk Arinc; or
Accommodation ( ____ nights x US$ ______ = )	$ ______	[ ] I enclose a copy of the bank transfer document; or
Total	$ ______	[ ] Please charge my credit card for the total amount

Card Number:	____ ____ ____ ____ ____ ____ ____ ____
Expiry Date:	___________________
Signature:	___________________	Date:	___________________

Family Name:	_________________	Other Names:	__________________________
I request transportation
[ ] From Antalya Airport to Merit-Limra		[ ] From Merit-Limra to Antalya Airport
Arrival Date:	_______________	Departure Date:	_______________
Time:	_______________	Time:	_______________
Flight No:	_______________	Flight No:	_______________
From:	_______________	To:	_______________
(last point of departure)		(first destination)
Number in party :		________
Name(s) of accompanying person(s):		_____________________________________