To register for PODDP'98, please print this form and return it completed and signed together with full payment to:
GUTenberg - PODDP'98 B.P. 10 F-93220 GAGNY PRINCIPAL, France Tel & Fax: +33 (0)1 30 87 06 25 b-auzeby@imaginet.fr
GUTenberg - PODDP'98 B.P. 10 F-93220 GAGNY PRINCIPAL, France
Tel & Fax: +33 (0)1 30 87 06 25 b-auzeby@imaginet.fr
Payment information: full payment should be included for a registration. PODDP'98 registration includes attendance at the workshop, breaks Sunday afternoon and Monday, and lunch on Monday. Registered attendees will receive a copy of the preliminary proceedings at the door. Fees will be returned in full for any written cancellation received before March 20, 1998 (date of postmark). No refunds will be made for cancellations received after this date.
Grand total (please fill this total)
All paiements should be made out to GUTenberg - PODDP Purchase order (for French, Belgian and Swiss attendees only) Check drawn on a French bank, or Eurocheque, in French Francs (no foreign checks please). Payment by check should be made payable to "GUTenberg - PODDP", and enclosed with the registration form. Bank transfer. Please make sure your bank debits your account with all charges for the transfer. Include copy of the transfer order. GUTenberg - PODDP Banque Populaire, Région Ouest de Paris, Address: 13, rue Oberkampf, 78350 Jouy en Josas, France bank code: 18707 - branch code: 00030 - account number: 03019135684 - key: 75. by credit card: for this means of payment, the original form is mandatory. Please note that this server is not secure; you should send your card information by normal mail. Cardholder first and last name: Card type: Visa Mastercard Eurocard Card Number Expiry date I hereby autorize GUTenberg to charge my credit card. Card holder signature (mandatory)
All paiements should be made out to GUTenberg - PODDP
Purchase order (for French, Belgian and Swiss attendees only) Check drawn on a French bank, or Eurocheque, in French Francs (no foreign checks please). Payment by check should be made payable to "GUTenberg - PODDP", and enclosed with the registration form.
Bank transfer. Please make sure your bank debits your account with all charges for the transfer. Include copy of the transfer order.
GUTenberg - PODDP Banque Populaire, Région Ouest de Paris, Address: 13, rue Oberkampf, 78350 Jouy en Josas, France bank code: 18707 - branch code: 00030 - account number: 03019135684 - key: 75. by credit card: for this means of payment, the original form is mandatory. Please note that this server is not secure; you should send your card information by normal mail.
Cardholder first and last name:
Card type: Visa Mastercard Eurocard
Card Number
Expiry date
I hereby autorize GUTenberg to charge my credit card. Card holder signature (mandatory)
Travel discount
Please send me an Air France discount form (up to 50% off on any round-trip from inside France to Rennes) Please send me a SNCF railway discount voucher (20% off any round-trip to Saint-Malo from France or Geneva)
Dietary restrictions
Please use the following field for any comment or question. If you reserved lunch on Sunday, please use this field to confirm it also.
PODDP registration (please do not erase this info)
20/02/98