REGISTRATION FORM

REGISTRATION FORM
2^nd International Quality Conference of the Central and Eastern European Countries
November 25-26, 2002, Budapest, Hungary

After filling the registration form you can send an e-mail to the Congress Secretariat by pressing "Enter" or the sending button at the bottom. The application form run with Internet Explorer 4 or more advanced version. When we get your application, we sign back on e-mail.

PARTICIPANT:

Mr.,    Ms.,    Prof.,    Dr.    (Tick the appropriate boxes)
First name*
Family name*
Country*
* Please provide this information as it must appear printed on your badge.

Title/Position:
Company/Institution:
Address:
Zip code: City:
Mailing Address: P.O.BOX:
Phone: Fax: E-mail:

ACCOMPANYING PERSON:

First name*
Family name*
Country*
* Please provide this information as it must appear printed on your badge.

REGISTRATION FEES:

REGISTRATION FEES

	Before 31 October, 2002	After 31 October, 2002
Conference Participant	EUR 400	EUR 460
Conference Speaker	EUR 200	EUR 230
Accompanying Person	EUR 200	EUR 200

Total amount:

MODE OF PAYMENT:
by BANK TRANSFER to EOQ MNB,
     National Saving Bank (OTP), Tátra u. 10, H-1136 Budapest, Hungary
     Account No: 11713005-20136631; Please indicate „IQC 2002"
by CREDIT CARD
     VISA ,   Eurocard/MasterCard ,   American Express ,   JCB
     Name on Credit Card:
     Card number:      Expires End: /
     Billing Address:
- BANK CHEQUES - cannot be accepted.
Written confirmation will be sent upon receiving the indicated amount.