ICIAP 2001
11th International Conference
on Image Analysis and Processing
September 26/28, 2001

REGISTRATION AND HOTEL RESERVATION FORM
to be sent to Eurocongressi s.r.l. - via Libertà, 78 - 90143 Palermo-Italy
ph. 39+091+302655 - fax 39+091+341533 - e-mail eurocongressi@mbox.infcom.it

Surname..........................................................................................................................................

Name.............................................................................................................................................

Affiliation.......................................................................................................................................

Address............................................................................................................................................

Zip Code.............................. Town.................................................Country......................................

Phone............................................Fax...................................... E mail .............................................

I enclose payment for:

Payments for registration fee:

Bank draft in favour of Comitato Organizzatore ICIAP on account n. 410295574 (CAB 04685 ABI 01020 ) c/o Banco di Sicilia- agency n. 67 - Via Libertà n° 185 Palermo, Italy (please enclose copy to Eurocongressi)

or

Credit Card

	American Express		Visa
	n:......................................................................	expiry date	........................................................

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Hotel Reservation

Please reserve

Hotel..............................................

	n°	......	single room(s)	from	................	till	....................	n°	....................	nights
	n°	......	double room(s)	from	.................	till	.....................	n°	......................	nights

Iwould like to share the room with

................................................................

Deposit of one night is requested upon reservation. Otherwise, if you have Visa or American Express cards, let us have number and expiry date just to guarantee reservation.

Reservations without deposit of one night or credit card information cannot be considered.

	American Express		Visa
	n:......................................................................	expiry date	........................................................

Bank draft in favour of Comitato Organizzatore ICIAP on account n. 410295574 (CAB 04685 ABI 01020 ) c/o Banco di Sicilia- agency n. 67 - Via Libertà n° 185 Palermo, Italy (please enclose copy to Eurocongressi)

Payments for hotel reservation include the first night that it is not refundable after August 31.

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