August 29 - September 9, 2005 University of Bologna Residential Center Bertinoro (Forlì), Italy
First Name: Last Name: Sex: Male Female Affiliation (University or Company): Department: Street Address: City/State: Postal Code: Country: E-mail Address: Make sure you enter a valid email address above. To confirm your registration, you will be asked to reply to a message sent to this address.
I am a Computer Science PhD student: Yes No Year of Study: First year PhD Second year PhD Other
Registration Fees: You can register for the whole duration of the school or just for one of the two modules.
I will be sharing the room with (In case no roommate is indicated, organizers will pair up participants)
Day of arrival Day of departure
Please specify which module(s) you will be taking:
1st Module (Raghavan): Yes No 2nd Module (Cesa-Bianchi): Yes No
Credit Card (Visa or MasterCard only). Please save the credit card authorization form on your local disk, complete it electronically, print it, sign it and fax it to +39 0543 446599
Bank transfer to
Banca Popolare dell'Emilia Romagna Filiale di Bertinoro Via Roma, 10 47032 Bertinoro (FC) Italy Beneficiary: Ce.U.B. (Web Bar) IBAN: IT 19 N 05387 67721 00000 1052782 SWIFT (BIC): BPMOIT22 XXX (for international bank transfers)
Please make sure that your name, address and "WEB BAR" appear on the bank transfer request. Also, make sure you send a photocopy of the transfer form to
Ce.U.B. c/o Elena della Godenza (WEB-BAR) Via Frangipane, 6 47032 Bertinoro (FC) Italy
Cancellations: There will be a 100 Euro fee applied to the cancellation of a registration. Substitutions may be made at any time without incurring penalties.
Note: If you want the invoice to be issued to you personally, then make sure that you give your name and home address (not that of your institution).
The following two fields are mandatory. Invoice issued to Address
For questions related to payments and accommodation, please contact Elena della Godenza phone +39 0543 446500 fax +39 0543 446557 email: edellagodenza@ceub.it
For any other questions, please contact web-bar@cs.unibo.it