MCO 2004 Modelling, Computation and Optimization in

MCO 2004
Modelling, Computation and Optimization in Information
Systems and Management Sciences
July 1-3, 2004, Metz, France
Booking Form
Title ________ First Name _______________ Surname____________________
Affiliation________________________________________________________
Address __________________________________________________________
__________________________________________________________
Tel. ___________________________ Fax_______________________________
Email ____________________________________________________________
Accommodation
I would like to book my accommodation on the Metz University Campus
Yes
(a
No
room with bathroom and toilet located beside the place of the conference and
very near downtown)
Dates:
Wednesday 30 June
Thursday 1 July
Friday 2 July
Payments
Conference fee (received before 15 May 2004)
_________
(Regular fee: 250 €, Student fee : 200 € (a certificate is required) – early registration)
Accommodation at Metz University: 13.40€ per night for student,
16.65€ per night for others,
____________
in both case to add 4€ specific amount for sheet
___________
Total ……...………………………………………………………..
________
Dietary Requirements: _________________________________________________
Method of Payment:
Please indicate your method of payment and delete the others
- By Cheque (to add 5.03 € for a cheque from a foreign bank):
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to the order of Agent comptable de l’université de Metz
- By an order form (Bon de Commande) (from a French national institution
only)
- By Transfer: (Banking expenses to your charge)
Use the bank account of Metz university financial administrator:
Beneficiary Bank: Trésor Public
Beneficiary Bank Address: TG de la Moselle
1 rue François de Curel, BP 41 054, 57 000 METZ, FRANCE
Beneficiary Name : M L Agent comptable de l'université de Metz
Ile du Saulcy, 57 012 METZ CEDEX, France
National Bank Account Number - RIB
Code banque code guichet numéro de compte
clé
10071
02
57000
00001000010
International Bank Account Number - IBAN
FR76 1007 1570 0000 0010 0001 002
Bank Identifier Code (BIC) : BDFEFRPPXXX
- By Foreign money order:
to the order of Agent comptable de l’université de Metz,
Centre de chèques Postaux, STRASBOURG - France, N° 5506 41 H 036
- By cash (on site, 1st July 2004) : 280 €
IMPORTANT NOTE: In all kinds of paying, please indicate in Payment Details:
MCO 04 – MIM and your Name it will allow the financial administration to
locate our fees among the enormous amount they receive every day.
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