Name and surname: ______________________________________________________________

Institution or Centre: _________________________________________________________

Address: _______________________________________________________________________

________________________________________________________________________________

Z.C.: _________ City: _______________ Country: _________________________________

Phone: __________________ Fax: _______________ E-mail: _________________________

Accompanying person: ___________________________________________________________


REGISTRATION (1)

                       Before April 30th  After April 30th

Full Inscription       _ 60.000.-Pts.     _ 70.000.-Pts.
Economic (*)           _ 48.000.-Pts.     _ 55.000.-Pts.
Accompanying Person    _ 25.000.-Pts.     _ 30.000.-Pts.

(*) Only for students. Official accreditation needed. Social events not included.


                                       TOTAL REGISTRATION (1) PTS.  ____________     


HOTEL RESERVATION (2) (Rate per room and night. VAT included).

BEATRIZ HOTEL(Meeting Venue)	Twin room		Single Use Room
Half Board (Dinner)		13.000.-Pts.	10.000.- Pts.
Bed and Breakfast		11.400.-Pts.	9.200.- Pts.
Please reserve  ____  room(s)  _ Twin(s)  _ Single use       

Date of arrival ____________  Date of departure _______________
Full prepayment required:
Rate per night __________  X ____ nights X ____ room(s)
     

			  TOTAL HOTEL RESERVATION (2) PTS.  ____________


FORFAIT: FLIGHT AND HOTEL RESERVATION (3)
Please consult forfait information and Flights timetable>.

Passenger names:	1 ____________________________  2 __________________________

		3 ____________________________  4 __________________________

Please reserve the forfait number ______ for _____ persons (see below)

Rate per forfait ____________ X  ______  persons

 FORFAIT FLIGHT + HOTEL (3) PTS. _________

		TOTAL PAYMENT ATTACHED (1 + 2 or + 3) PTS. ____________


METHODS OF PAYMENT


_ By bank draft in Pesetas (enclosed) against a Spanish Bank payable to:
	IWANN'97/ULTRAMAR EXPRESS.
_ By bank transfer (copy enclosed) to:
	BANCO DE SANTANDER (c/o ULTRAMAR EXPRESS), Ramblas 74-76, 08002 Barcelona,
	Account number 0085-0202-50-00000011210. Bank fees must be paid by you.
_ By credit card:
	VISA number _________________________  Expiration date _________________


SENDING THE REGISTRATION FORM

Please send this registration form, with the draft or the copy of the bank transfer to:

ULTRAMAR EXPRESS - Congress Organizers
Diputación, 238, 3rd E-08007 BARCELONA Spain
Phone + 34 3 482 71 40 - Fax + 34 3 482 71 58 - E-mail: gcasanova@uex.es


Date ______________________    Signature __________________________________