REGISTRATION FORM
SpaceOps 96 Symposium Munich, Germany September 16-20, 1996
___________________________________________________________________________
Note: Please complete this form using CAPITAL LETTERS or type. Don't forget
to sign.
___________________________________________________________________________
To: CAM GmbH / "SpaceOps 96" / Rudolf-Diesel-Strasse 7a /
D-82205 Gilching / Germany Fax: +49 (0) 8105 24 965
___________________________________________________________________________
SYMPOSIUM PARTICIPANT IDENTIFICATION
Last Name _________________________ First/Middle __________________________
Title _____________________________ Company _______________________________
Street ____________________________ City __________________________________
Zip Code __________________________ Country _______________________________
Nationality _______________________ Phone _________________________________
E-Mail: ___________________________ Fax ___________________________________
___________________________________________________________________________
GUIDED TOUR TO DLR
O Yes, I/we would like to take part in the guided tour to DLR. I require
bus transportation for _____ persons. (included in the fee)
___________________________________________________________________________
SYMPOSIUM FEE
Note: The total payment in principal must be made in German Marks (DM).
Only cheques from outside Europe may be issued in DM or US $.
Registration received
O until August 1, 1996: O after August 1, 1996: DM ____
DM 520 / US $ 350 DM 600 / US $ 400 $ ____
_____________________________________________
SPOUSE PROGRAM
Yes, I would like to book the following:
O "Neuschwanstein" and "Oberammergau" Tour xDM 140 = DM ____
(DM 140 per person) ___ x $ 94 = $ ____
O City Tour through Munich xDM 30 = DM ____
(DM 30 per person) ___ x $ 20 = $ ____
O "Chiemsee" and "Herrenchiemsee" Tour xDM 160 = DM ____
(DM 160 per person) ___ x $ 107 = $ ____
___________________________________________________________________________
TOTAL ENCLOSED AMOUNT, DM ____ $ ____
___________________________________________________________________________
METHOD OF PAYMENT
O Cheque is enclosed (specify DM if issued in Europe, otherwise DM or US $)
O I pay with EUROCARD/MasterCard (total must be in DM)
Number ___________________________ Valid through __________________________
Date _____________________________ Signature ______________________________