6th Conference on Algorithms and Complexity
May 29-31, 2006 Rome, Italy

Registration form

Please, send the completed form by e-mail to ciac@di.uniroma1.it (preferable) or by fax to +39-06-8541842.
A payment proof is also required in order to complete the registration. Please, send it by fax to +39-06-8541842.

Payments can be made by a bank transfer:
Banca di Roma, Agenzia n° 208, Via Po 52, 00198 Roma,
Account Number: 65123738,
Account Holders: R. Petreschi (Department Director) and G. Bongiovanni (Department Assistant Director),
SWIFT Number: BROMITRF046;
BIC Code: BROMITR1208;
IBAN Code: IT54E0300205016000065123738
For Italian participants only: ABI 3002/3, CAB 05016/1

Please make sure to specify "CIAC 2006 registration" in the bank transfer and that the bank transfer is made net of all bank charges and commissions.

 

Name: _________________________________________________________________________________________________

 

Affiliation (as it should appear on the name tag): ______________________________________________________________

 

Address: _______________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

 

Telephone (including country code): _________________________________________________________________________

Fax n.: _________________________________________________________________________________________________

E-mail: ________________________________________________________________________________________________


Are you a student? _______ Yes _______No

Are you author of an accepted paper? _______ Yes _______No


If yes, please specify the title: ______________________________________________________________________________

______________________________________________________________________________________________________

Special Requests (meals, discapacities): ______________________________________________________________________

______________________________________________________________________________________________________

Payment information:

Early Registration 
(before April 20) 
Late Registration 
(after April 20)
Student fee: € 200
Student fee: € 380
Normal fee: € 380
Normal fee: € 550
Additional ticket for guided tour to Musei Capitolini + dinner (terrace of Forum Hotel): € 100

 

Total payment: _________________________


Date of payment: _________________________

 

Fax: +39-06-8541842
E-mail: ciac@di.uniroma1.it

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