CASI 2007  @ Limerick Registration Form (Plain Text for Allstat) 


First Name      ________________________________________________
Second Name     ________________________________________________
Title           ________________________________________________
Affiliation     ________________________________________________

Department      ________________________________________________
Address   	    ________________________________________________
   		    ________________________________________________
		    ________________________________________________
                City    ____________    
                Country _______________________   

Email Address    ___________________________________
Telephone        ___________________________________

Are you a PhD Student:           1. Yes  (confirmation required),  2. No 

Supervisor's signature _____________________________________ 
                                                  
Are you a presenting author:  1. Yes =Paper,   2. Yes=Poster,    3. No 

If presenting: Title of Paper____________________________________
_________________________________________________________________

Registration (Ring numbers):  

A. Full Residential Conference package
1.  Full Package non-sharing   ........................    €475
2.  Full Package sharing  ................................ €445
3.  Full package student (sharing) .. .....................€395

If sharing (same sex) with whom? _____________________

B. Daily Rate 
Daily delegate rate (1 day)   =  €140  
Daily delegate rate  (2 days) =  €180   
(includes: registration materials, lunch, coffees & refreshments) 

C. Other Rates 
Rates for before and after days = €85 & 70 (B& B single & sharing)
Accompanying person = €250 (DB & B, 2 nights) .

Bank Transfer to:  CASI 2007   Account Number = 13466015, Address = Ulster Bank, Limerick University, Castletroy, Limerick. IBAN Number = IBAN IE76ULSB98605013466015  

Please pay any bank conversion charges. 

Send Remittance to: Prof. Gilbert MacKenzie, Dept. of Maths & Stats, Limerick University, Casteltroy, Limerick. (<a href="/cgi-bin/wa-jisc.exe?LOGON=A3%3Dind0702%26L%3DALLSTAT%26E%3Dquoted-printable%26P%3D70433%26B%3D--------------050709040306040300010902%26T%3Dtext%252Fplain%3B%2520name%3D%2522casi2007_registration_form.txt%2522%26N%3Dcasi2007_registration_form.txt" target="_parent" >[log in to unmask]</a>). Tel: 00 353 (0)61 213499, Fax:  00 353 (0)61 334927.