ABS10 - 2010 APPLIED BAYESIAN STATISTICS SCHOOL

    June, 11 - 15, 2010 - Bolzano/Bozen, Italy

REGISTRATION FORM to be sent to 

ABS10 Secretariat
E-mail: abs10@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 _______ (500 students)
                                          (650 people from academic and 
					       non-profit organizations)
                                          (930 others)
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 (abs10@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 "ABS10 - 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                [ ]