Assessment 2004 Registration
Please complete a separate form for each person attending. *=Required field.
Prof
Dr
Mr
Mrs
Ms
Miss
Student
*
Last name
*
First name
*
Institution
*
Position
Street/P.O.Box
*
Postal code/City
*
Country
*
Phone/Mobile
*
E-mail
*
Date of arrival
*
June 22
June 23
June 24
June 25
Date of departure
*
June 24
June 25
June 26
Remarks
Registration fee and accommodation at Solstrand Fjord Hotel
Before April 1
After April 1
Select
Fee per person in a single room accommodation
NOK 4800
NOK 5350
Single Room
Fee per person in a double room accommodation
NOK 4540
NOK 5100
Double Room
The prices include: accommodation for 2 nights (June 23 and June 24), all food: breakfast, coffee breaks, lunches, midsummer party (June 23) and conference dinner (June 24); bustransport from Bergen to Solstrand with sightseeing (June 23), admission to all scientific sessions, book of abstracts and a published book on assessment (Kluwer).
Accompanying person
If more that one accompanying person, please contact
Kongress & Kultur
Fee per accompanying person in a double room accommodation
NOK 2720
NOK 2720
The prices include: accommodation for 2 nights (June 23 and June 24), all food: breakfast, coffee breaks, lunches, midsummer party (June 23) and conference dinner (June 24); bustransport from Bergen to Solstrand with sightseeing (June 23).
Additional nights at Solstrand Fjord Hotel (NOT included in the conference fee) on
Tuesday 22
Friday 25
In a single room accomodation
NOK 1550
In a double room accomodation
NOK 1250
Prices pr person pr night including full pension. Single/double room is selected above.
The total amount to be paid will be displayed before you submit your registration.
Vegetarian
Yes
No
Special dietary needs (please specify)
Payment
Credit card
Visa
Euro or Master Card
Card number
Exp.date
CVC2
<-- for Euro/Master card only
(last 3 digits in the signature field - backside of your card)
Card holder's name
Bank transfer
IBAN/Account number: NO50 3624.07.86545 Sparebanken, Kaigaten 4, N-5020 Bergen, Norway
Swift code: spav no bb.
Beneficiary: Kongress & Kultur AS, P.O.Box 947 Sentrum, 5808 Bergen, Norway
Telefax: +47 55 55 36 56