SYNERGOS 1998 Registration Form


To register for SYNERGOS 1998, fill in the form below and submit it by pressing the REGISTER button at the end of the form.

  1. Name:
    (as you would like it to appear on your name tag)
  2. Affiliation:
  3. Address:
  4. Email:
  5. Phone:
  6. Fax:
  7. Arrival Day:
  8. Departure Day:
  9. If you want to stay at Centro Hotel , the room reservation can be done by this registration. Rooms are being held for the nights of August 9-22. Also, note that we are unable to guarantee the same prices or quality of accommodation for people registering after June 15.
  10. Centro Hotel:
    Single room, FIM 290 per person, per night, (incl. breakfast)
    Shared double room, FIM 170 per person, per night, (incl. breakfast)

    I'll arrange my own accommodation thanks.

  11. If you have requested a shared double room, with whom would you like to share it?
  12. Gender
    male or
    female
  13. Special Dietary Requirements:
  14. Other Special Requirements:

The conference fee is FIM 3000 consisting of:

Payable by bank connection as follows:

By registering for SYNERGOS 1998 you are agreeing to pay the applicable registration fee, even if you subsequently fail to attend the conference. However, the organizing committee may waive the fee, if you inform us of your change of plans before June 15.

Register for SYNERGOS 1998: