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

Payment Form for CERME3 + YERME Day Deadline: January 15th, 2003
Full Name:
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Payment Mode:
[] On-line payment, click here to access to on-line payment form.
[] Payment by Credit Card
I authorize Dipartimento di Matematica "L. Tonelli" Università di Pisa to charge my credit card:
[] Master Card [] Visa
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Expiration Date (Month/Year): .....................................................................
Amount EUR: .....................................................................
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[] Payment by Bank Transfer
The money must be transferred to:
Title of the account: Dipartimento di matematica "L. TONELLI"
Università di Pisa
 Name and address of the Bank: Cassa di Risparmio di Pisa SPA 
sede centrale - piazza Dante 1 
56124 PISA ITALIA
ABI code: 6255
CAB code: 14011
ACCOUNT  number: 011/30602
IBAN number: IT00 0062 5514 011C C011 30602
USE: Iscrizione CERME3
Please pay the full costs of bank transfer, indicate at your bank: "No charges for the beneficiary" .
[] Payment by cheque (in Euros)
Please make your cheque payable to: Dipartimento di matematica "L. TONELLI", Università di Pisa

Please enclose your cheque

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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