REGISTRATION FORM
for
Configuration Workshop 2013
August 29th-30th
Siemens City, Vienna, Austria
http://ws-config-2013.mines-albi.fr/

The registration fee of EUR 150,- (incl. 20% VAT) includes
- printout of proceedings
- lunch and coffee breaks
- workshop dinner on Thursday, August 29th
- excursion through the new LEED Gold certified Siemens City
- WLAN access at the conference premises

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Please provide following data (add after ": " and remove yes or no):

PARTICIPANT (to be used for official list of participants)
- Surname:
- First name:
- E-mail:

ADDRESS FOR INVOICE
- University or Company:
- Street and number:
- Postal code and city:
- Country:

PARTICIPATION (included in fee)
- workshop dinner: yes / no
- excursion Siemens City: yes / no
- will you arrive by car (parking permission): yes / no

EXTRA (NOT included in registration fee)
- do you want to take your partner to the dinner: yes / no
- would you come to a second dinner on Friday, August 30th: yes / no
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Please e-mail the completed form BEFORE JULY 10th to
andreas.a.falkner@siemens.com
alois.haselboeck@siemens.com

Please be aware that by that date we consider your registration as final and
that the full fee will be due whether you participate in the workshop or not!

You will get an invoice until August 1st.
Please transfer the fee to the account number on the invoice prior to the workshop.

Thank you!