IWFM'01 Booking Form, 5th. Irish Workshop in Formal Methods, Trinity College
                   Dublin, 16-17th. July, 2001.
NAME:________________________________________ TITLE:_____________
ORGANIZATION:____________________________________________________
ADDRESS:_________________________________________________________
_________________________________________________________________
COUNTRY:_____________________ POSTCODE:__________________________
TELEPHONE:___________________ FAX:_______________________________
EMAIL:___________________________________________________________
ARRIVAL DATE:___________________ DEPARTURE DATE:_________________
SPECIAL DIETS:___________________________________________________
WORKSHOP FEE: Includes lunch on both Monday and Tuesday, dinner on Monday,
and pre-prints of the proceedings.

Cost (by July 6 2001)    
Earner: 100 IEP (Irish pounds) ________ Student: 40 IEP (Irish pounds) ________

Cost (after July 6 2001)
Earner: 110 IEP (Irish pounds) ________ Student: 50 IEP (Irish pounds) ________

Extra dinners cost IEP 27
WORKSHOP FEE DUE: ________
- Please note that payment must be made via a bank draft in Irish pounds
  (punts) or Euros made out to IFMSIG.
- The draft (in punts) or Euros must be forwarded with the registration form
to:
Glenn Strong (Local secretary, IWFM'01) Department of Computer Science,
Trinity College Dublin, Dublin 2, Ireland.
Tel: +353-1-608-3629 Fax: +353-1-677-2204 Email: Glenn.Strong@cs.tcd.ie