IC-SCCE - International Conference from Scientific Computing to Computational Engineering

Accompanying Person Registration

Please click here in order to download the form and return it to us by fax or e-mail (as attached file)

        Fax: +30-2610-996344 or +30-2610-997267

        E-mail: ic-scce2006@upatras.gr

Or submit the online form below.
Please note that the electronic submission is encouraged.

Participant's details

Title:

Last Name:

First name:

Address:

Country:

Phone:

Fax:

E-mail:

Event

Conference Dinner

60 EUR

Form of Payment

I have ordered a bank transfer (In this case please send us by fax or e-mail a copy of the receipt of the bank transfer order)

Receiving bank details

Bank name and address:

NATIONAL BANK OF GREECE

OMONOIA SQUARE

PATRAS, GREECE

Bank account number: 229/51221989

Currency code EURO

Code BIC (SWIFT address) (obligatory): ETHNGRAAXXX057191

COS IBAN: GR9601102290000022951221989

Please charge the amount of EUR to my Credit Card:

VISA or MASTER CARD

Card number:

Expiry date:

CardHolder's Name:

CVV2 *

All Bank fees must be covered by the sender

Please indicate the name of the participant and the code "3rd IC-SCCE Conference"

*: CVV2 Is the last 3 digits on the backside of your credit card on the signature strap.

Cancellation

All cancellation must be made in writing to the Conference Secretariat. For Cancellation received by 31 May, 2006 a refund of 80% will be granted. No refunds will be made for cancellations after that date.

The conditions of this registration are hereby fully accepted.