EBSSRS Symposium - Registration Form

IVth
Congress of The
International Association
of Gerontology

Living Arrangements
and Family Relationships
in the Aging Society

THE 1998 EBSSRS SYMPOSIUM IN HELSINKI, FINLAND
JUNE 14-16, 1998

Registration Form

Please type or print in BLOCK LETTERS and return (by April 30, 1998) by airmail to:
Travel Experts Ltd, P.O. Box 130, FIN-00161 Helsinki, Finland.


Prof.	Dr.	Ms.	Mr.

Surname:

First Name:

Accompanying Person
Surname:

Accompanying Person
First Name:

Organization:

Position:

Full Mailing Address:

Phone:

Fax:

E-mail:

Special
Requirements:

Symposium Fees: (Please indicate the correct alternatives)

Participant	FIM 825 (USD 150)
Participant after May 1	FIM 1100 (USD 200)
Accompanying Person	FIM 275 (USD 50)

Registration fee includes: Symposium materials, badge, admittance to all sessions, opening reception, city reception, get-together party.

Hotel Reservation

	Single	Double	Triple
Sokos Hotel Helsinki
Hotel Grand Marina
Eurohostel

Hotel Deposit: FIM
Total (Fees, hotel and deposit) FIM
Date of arrival Date of departure
I want to share the room with

Your registration is valid once we have received your payment. After that we will confirm your participation.

All payments should be made in Finnish Marks (FIM) and transferred to Travel Experts Ltd, Merita Bank, Helsinki, account no. 240018-12544. Make sure to write "EBSSRS" and your name on all bank refers. Unfortunately we cannot accept cheques.

Please indicate your means of payment:
Bank transfer to Merita Bank, Helsinki, account no. 240018-12544
Credit card

Please charge my AmEx; Diners; Eurocard; Master Card; Visa
Card no. Expiring Date
The cardholder's address:
Signature:
There is a surcharge of 3% payable on all credit card transactions

Date: Signature: