REGISTRATION FORM
INTERNATIONAL
SOCIETY FOR INTERCOMMUNICATION OF NEW IDEAS
WAGENINGEN,
THE NETHERLANDS
August
24-27, 2005
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Preferred mailing address: affiliation/home (circle
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Co-author(s): Write name(s) and affiliation(s) |
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Besides presenting a paper I wish to:
Chair a session: Yes/No
Discuss a paper: Yes/No
WAY
OF PAYMENT:
q
By Bank:
Stichting BEOO,
Eekmolenweg 4,
6703 AM
Wageningen,
The
Netherlands,
accountnr:
686242440,
IBAN:
NL64 INGB 0686 2424 40;
BIC:
INGBNL2A,
Bank:
ING Bank
Address:
Molenstraat 142,
6711 AX
Ede,
The
Netherlands.
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By Credit Card
0 EuroCard/MasterCard
0 Visa
0 American
Express
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Signature: |
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Please return this Registration Form to:
Ms. Annelies Coppelmans
Wageningen University
Dpt of Economics of Consumers and Households
P.O. Box 8130
6700 EW Wageningen
phone : +31 317 485455
fax : +31 317 485373
e-mail : annelies.coppelmans@wur.nl
Signature : _________________________________
Date : _____________________________________