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 5 days of full board accommodation, from 26 February at dinner to March 3 at lunch, including drinks):	In double room - 300 EURO	In single room - 360 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)

**Please help us organizing YERME-Day by filling the following (check whatever applies).**
Which discussion group do you wish to attend to?	1	2	3	4
Which working group do you wish to attend to?	1	2	3	4
Do you wish to participate to the YERME-Day dinner? (notice that the cost of the dinner is an extra cost, it is not included in the registration and it has not been arranged yet, we need to know the number of participants in order to organize it)	Yes	No

Accomodation & Registration Form for YERME day (27 Feb) and CERME 3 (28 Feb - 3 Mar)
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 5 days of full board accommodation, from 26 February at dinner to March 3 at lunch, including drinks): In double room - 300 EURO In single room - 360 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
Five days of full board accomodation in double room
Name of the person you want to share your room with: .......... 300 EURO [ ]

Five days of full board accomodation in single room 360 EURO [ ]

Extra days Number of days: EURO [ ]

Accompayning
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 help us organizing YERME-Day by filling the following (check whatever applies).
Which discussion group do you wish to attend to? 1 2 3 4

Which working group do you wish to attend to? 1 2 3 4
Do you wish to participate to the YERME-Day dinner? (notice that the cost of the dinner is an extra cost, it is not included in the registration and it has not been arranged yet, we need to know the number of participants in order to organize it) Yes No

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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