ABS09 - 2009 APPLIED BAYESIAN STATISTICS SCHOOL June, 15 - 18, 2009 - Bressanone/Brixen, Italy REGISTRATION FORM to be sent to ABS09 Secretariat E-mail: abs09@mi.imati.cnr.it Fax : +39 0223699538 Family name : _____________________________________________ First name : _____________________________________________ Institution : _____________________________________________ Department : _____________________________________________ - Mailing address : _____________________________________________ - City : __________________________ Code: ____________ - Country : _____________________________________________ Telephone : _____________________ Fax : ________________ E-mail : _____________________________________________ Student : ________________ Advisor : ______________ ACCOMPANYING PERSON NO [ ] YES [ ] N°._________ Particular request (e.g. vegetarian meals,facilities for disabled people) ___________________________________________________________________ ___________________________________________________________________ REGISTRATION FEE Participant : Euro _______ (350 students) (500 people from academic and non-profit organizations) (800 others) Accommodation (4 nights : Euro _______ (170, 14 - 18 June) at Accademia Cusano) Farewell dinner : Euro _______ (50, 17 June) Late registration fee : Euro _______ (50 after April, 30th) _________________________________________________________________ Total : Euro _______ I paid the registration fee YES [ ] NO [ ] PLEASE SEND A COPY OF THE BANK TRANSFER: - BY FAX (fax number +39 0223699538) - OR BY E-MAIL (abs09@mi.imati.cnr.it) BANK DETAILS Banca Nazionale del Lavoro Roma (Italy) Account nr. 218155 - ABI 01005 - CAB 03392 IBAN: IT57S0100503392000000218155 SWIFT/BIC: BNLIITRR Holder of the account: Consiglio Nazionale delle Ricerche It is important to indicate in the Bank Transfer: YOUR NAME and "ABS09 - CNR IMATI - 050.001" INVOICING DETAILS (PLEASE CHOOSE ONE) - YOU WILL BE CONTACTED ACCORDINGLY We kindly request to specify the holder of the payment (or the holder of the reimboursement), to make the invoice in the correct way: PARTICIPANT'S ORGANIZATION [ ] PARTICIPANT [ ]