CERME 3: Accomodation & Registration Form

European Society for
Research in
Mathematics
Education

CERME 3:
Third Conference of the
European Society for Research in Mathematics Education
28 February - 3 March 2003 in Bellaria, Italy

PLEASE TYPE OR HAND/WRITE USING ONLY CAPITAL LETTERS
Family Name	:	First Name	:
Contact Address	:
Telephone	:...............	Fax	:...............	email	:...............

**Prices and information on payment**
	Double room	Single room
Conference registration for each person (covering four days of full board accommodation, from 27 February at dinner to March 3 at lunch, including drinks):	In double room - 250 EURO	In single room - 300 EURO
Each extra day (full accomodation) costs:	In double room - 50 EURO	In single room - 60 EURO
Prices per accompanying person per day (full accomodation):	In double room - 50 EURO	In single room - 60 EURO
All payments must be done using EURO currency.

**Payment Mode:**
[] On-line payment, click here to access to on-line payment form . Note: even if you pay on-line you are requested to fill this form and send it to the secretariat.
[] Payment by Credit Card	[] Payment by Bank Transfer	[] Payment by cheque (in Euros)

Accomodation & Registration Form (Deadline: January 15th, 2003)
PLEASE TYPE OR HAND/WRITE USING ONLY CAPITAL LETTERS
Family Name : First Name :

Contact Address :

Telephone :............... Fax :............... email :...............

Prices and information on payment
Double room Single room

Conference registration for each person (covering four days of full board accommodation, from 27 February at dinner to March 3 at lunch, including drinks): In double room - 250 EURO In single room - 300 EURO

Each extra day (full accomodation) costs: In double room - 50 EURO In single room - 60 EURO

Prices per accompanying person per day (full accomodation): In double room - 50 EURO In single room - 60 EURO

All payments must be done using EURO currency.

Please fill in the form and check each voice that applies

Arrival: Departure: Total of days:

Invoice Payment Check
Four days of full board accomodation in double room
Name of the person you want to share your room with: 250 EURO [ ]

Four days of full board accomodation in single room 300 EURO [ ]

Extra days Number of days: EURO [ ]

Accompanying
persons Number of accompayning persons sleeping in single room:...... EURO [ ]

Number of accompayning persons sleeping in double room:...... EURO [ ]

Total:

Payment Mode:
[] On-line payment, click here to access to on-line payment form . Note: even if you pay on-line you are requested to fill this form and send it to the secretariat.

[] Payment by Credit Card [] Payment by Bank Transfer [] Payment by cheque (in Euros)

Please send this form to the conference secretariat:
- Via regular mail Maria Alessandra Mariotti c/o Dipartimento di Matematica, Via Buonarroti 2, 56127 Pisa, Italy.
- Or via E-mail: didattica@dm.unipi.it - Or via Fax: +39 050 2213 224

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For questions, comments and/or suggestions mail to didattica@dm.unipi.it