*------------------------- Registration Form ------------------------*
                   Multi-Workshop on Formal Methods in
                 Performance Evaluation and Applications
*--------------------------------------------------------------------*

First name:
Surname:
Preferred treatment:
  [ ] Prof.  [ ] Dr.  [ ] Ms.  [ ] Mr.  [ ] None (plain name)

Institution/Organization:

Member of [ ] IEEE  [ ] ACM  [ ] IFAC  [ ] EATCS.  Number:

ADDRESS
-------

E-mail (mandatory):
Fax:
Tel:
Postal:


CONFERENCE FEE
--------------

Please check your situation, and compute your fee.
* Registration to Tutorials and Workshops includes
  proceedings, coffee breaks, and lunches.
* Registration to Conference includes either the proceedings
  of PNPM or those of both NSMC and PAPM,
  coffee breaks, lunches, welcome reception, and banquet.
* Registration from students must be endorsed by
  their Professor or Head of Department,
  and a copy of the student identity card.
  (Student fee does not include banquet.)

                                                   [ ] STUDENT
REGISTRATION TO TUTORIALS AND WORKSHOPS
      ( Monday 6 )
[ ] Registration to Tutorial M          9000 pts      7000 pts
[ ] Registration to WFMM                9000 pts      7000 pts
      ( Tuesday 7 )
[ ] Registration to Tutorial T          9000 pts      7000 pts
[ ] Registration to WFMT                9000 pts      7000 pts

REGISTRATION TO CONFERENCE
Registration to PNPM & PAPM & NSMC                   45000 pts
[ ] Members of IEEE/ACM/IFAC/EATCS     60000 pts     
[ ] Non-members                        67000 pts
[ ] Registration after 03/07          +10000 pts    +10000 pts
Select your choice of Proceedings:
    PNPM [ ]  NSMC+PAPM [ ]
[ ] All proceedings (PNPM+PAPM+NSMC)   +5000 pts     +5000 pts

[ ] Registration to Conference plus
    one Tutorial or Workshop each day  -9000 pts     -7000 pts

TOTAL:                                [     ]pts    [     ]pts

*--------------------------------------------------------------------*