IWAF VII REG FORM

							                           THE SEVENTH INTERNATIONAL WORKSHOP
                              ON AGGLUTINATED FORAMINIFERA

                                        FINAL REGISTRATION FORM

                 Please fill this form in capital letters and forward it by e-mail or fax to:
                        Rodolfo Coccioni, cron@info-net.it, 0039-0722-304220
                                                       or
                   Michael A. Kaminski, m.kaminski@ucl.ac.uk, 0044-2073887614
                         Form and abstract(s) must be received by May 30, 2005

Title (Prof., Dr., Mrs., Miss)______________________________________________________________________
First name____________________________________________________________________________________
Family name__________________________________________________________________________________
Department/Institute____________________________________________________________________________
University/Company____________________________________________________________________________
Address______________________________________________________________________________________
City/Town_____________________________________________             Zip/Postal code ________________________
Country_______________________________________________             Phone________________________________
Fax_______________________             Email____________________________________________________________

                                REGISTRATION FEES (please mark the appropriate)

                        Fees                before 30th May    after 30th May        to be paid
                                                                                  (your preference)
            Full registration fee               120 €              40 €
            Student registration fee             60 €              70 €
            Social dinner                        30 €              35 €
            Field trips                          60 €              70 €


                          Workshop accommodation (Hotel Tortorina, including breakfast)
                                                   single room                 double room
            October 2 (Sunday)                         33 €                       46.50 €
            October 3 (Monday)                         33 €                       46.50 €
            October 4 (Tuesday)                        33 €                       46.50 €
            October 5 (Wednesday)                      33 €                       46.50 €
            October 6 (Tuersday)                       33 €                       46.50 €
            October 7 (Friday)                         33 €                       46.50 €
            October 8 (Saturday)                       33 €                       46.50 €
            In double occupancy I wish to share room with:

         Vegetarian                            Yes                   No

Definite title of lecture(s):



Definite title of poster(s):




Date                                                                                 Signature