REGISTRATION FORM TO BE FAXED OR SENT TO:
INTERNATIONAL SCHOOL ON REWRITING 2007, July  2nd to 6th 2007

Anne-Lise CHARBONNIER at INRIA Lorraine
615, rue du Jardin Botanique - 54600 Villers-lès-Nancy  – France
Fax: 03.83.27.56.52 -  International: +33 3.83.27.56.52
E-mail: Colloques@loria.fr

Registration deadline: Your registration form and payment must be received by Monday, June 18th, 2007.

Last name (family name): ______________________________ First name: 	
Title: (Prof., Dr., other) _______________________________  Sex:  Male    Female
E-mail: 	
Affiliation: 	
Citizenship:		Profession: 	
Street & number: 	
City: ___________________________ State: __________________________ Zip code:	
Country: ______________________ Phone: 	
Arrival date:		Departure date: 	
Vegetarian Food:   yes    no	other: 	

Registration Fees include: Summer School attendance, a copy of courses slides, breakfasts, lunches, coffee breaks, social events, and student party.  (VAT 19,6% included)

	Until May 31st 	From June 1st 	
Summer School registration	Student*	Normal	Student*	Normal	
Registration without lodging 	__ x  200 €	__ x  300 €	__ x  300 €	__ x  400 €	
Registration with double lodging **	__ x  350 €	__ x  450 €	__ x  450 €	__ x  550 €	
Registration with individual lodging **	__ x  500 €	__ x  600 €	__ x  600 €	__ x  700 €	
Social Events + student party for accompanying person	__ x    55 €	
Total:	________  €	

*   Please, join a copy of your student card
** Lodging in High standing Residence from Sunday, July 1st to Friday, July 6th (only 9 double rooms and 22 single rooms available). For double rooms, please write the name of your roommate: __________________

Payment (select one option)

 Please charge my credit card

Card type:	 Visa      Master Card
Credit card number: _______________________________ Expiry date (month/year): _____/_____
Amount: _____________ €
Card holder name: ___________________________________________________________
Card holder signature:

  Please find enclosed a Bank Check of …………………………………Euros (no personal checks accepted)
Make checks (in Euros only) payable to “Agent Comptable de l’INRIA”

 Bank transfer:
A copy of the bank transfer should be enclosed with the registration form. Please quote ISR’2007 as reference.
Name of the Bank: Trésorerie Générale des Yvelines
Beneficiary: Agent comptable de l’INRIA
Address: 16, avenue de Saint Cloud  –  78018 Versailles  –  France
Account number: 00001003958 – RIBKey : 48
Bank code: 10071  –  Agency: 78000
Swift code: BDFEFRPPXXX   -   IBAN FR 76 1007 1780 0000 0010 0395 848 

 Bon de Commande (For French Academic only) to INRIA Lorraine.
Siret number: 18 0089 047 00054

Note: To register, please FAX a copy of the filled form to the number and name indicated on the top (payment must still be received by Monday, June 18th, 2007; early registration deadline is May 31st, 2007).