THIRD NESSIE WORKSHOP, Munich, November 6-7, 2002
3rd NESSIE -Workshop
Siemens AG, CT IC 3
Otto-Hahn-Ring 6
D-81730 Munich, Germany
FAX: + 49 89 6 36-4 80 00
Complete and print this form, and fax to:
Germany + 49 89 6 36-4 80 00
REGISTRATION
FORM
Name: ______________________________________________________
Affiliation:____________________________________________________
Department:___________________________________________________
Street:_______________________________________________________
Postal Code:_______________ City:_______________________________
Country:_____________________________________________________
eMail:_______________________________________________________
Phone:________________________ FAX:__________________________
Do you prefer a vegetarian menu for the conference dinner ? (Yes, No):
______
The cost of the workshop is EUR 170. You will receive an invoice from the
Siemens financial department.
I want to register for the third NESSIE workshop in Munich, November 6-7,
2002.
Date: _______________ Signature: _______________________________