VIM 2001

ICHMT Int. Symposium on
Visualization and Imaging in Transport Systems

05-10 May 2002

REGISTRATION AND ROOM RESERVATION

Family Name: ________________________ Other Names: ___________________________________
Affiliation & Address:___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Tel: ______________Fax: ______________ E-Mail: ___________________
[ ] Request an extra copy of book of abstracts at an additional charge of US$ 10 to be paid on site
[ ] Accompanied by Spouse and _______ children aged _________

Room Request in Adora:_____     nights from:       /      / 2002 to:        /       / 2002
Hotel Room : [ ] Single Rm [ ] Double Rm [ ] Triple Rm
Club Room : [ ] 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

----------------------------------------------------------------------------------------------------------

CREDIT CARD PAYMENT

Please charge ________ US Dollars to my: [ ] Visa [ ] MasterCard [ ] Eurocard
Card Number: ____ ____ ____ ____ ____ ____ ____ ____
Expiry Date: ___________________
Signature: ___________________ Date: ___________________
Name as shown on Credit Card: ____________________________________

---------------------------------------------------------------------------------------------------------

TRAVEL SCHEDULE

Family Name: _________________ Other Names: __________________________
I request transportation
        [ ] From Antalya Airport to Adora         [ ] From Adora 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.