WWW pages of 3rd European Master School on Language and Speech

ON-LINE REGISTRATION FORM

Please fill out this form. Registration should be conducted before June 30, 2004.









Your personal data:
Name:
First name:
University/Institute:
Street address:
Town:
Zip code:
Country:
Fax:
Email address:

You register for:
Workshop (Aug. 3)
Conference (Aug. 4-6)
Conference and Workshop (Aug. 3-6)

Please state if you want to register for a student room (price: € 15 per night plus € 15 deposit).
No
Yes (Aug 3-6 - 3 nights) (€ 45)
Yes (Aug 3-7 - 4 nights) (€ 60)
Yes (Aug 2-6 - 4 nights) (€ 60)
Yes (Aug 2-7 - 5 nights) (€ 75)

You will receive a mail to confirm your registration.

If you are not able to send the webform, you can send a mail with the same information to Peter Dirix.