SoCG2005 - Online registration



	ORGANIZING AGENCY CONSULTA UMBRIA Via R. Gallenga, 2 06127 Perugia, ITALY Tel +39 075 5000066 Fax +39 075 5153466 P.IVA: 01720770542

	congressi@consultaumbria.com

21st Annual ACM Symposium on Computational Geometry

Pisa, Italy
June 6-8, 2005

Conference registration, hotel booking, and optional online payment.

* mandatory fields

Personal data

Last name*
First name*
Affiliation*
Address
City
Zip code
State
Country*
Phone
Fax*
Email*
ACM/member number (for Member registration)

Travel and special needs

Names of accompanying persons
Special needs
Audiovisual equipment (speakers only)

socg2004 registration

SOCG2005 registration type
Number of tickets for the social dinner
Ticket Lunch Packets
Packets' type (if you select 2 lunches, please specify the dates in the above Special needs field)

Hotel booking

Share room with participant
Name of participant to share room with
Hotel
Single rooms
Double rooms single usage
Double rooms
Arrival date	/ /
Departure date	/ /
No. of nights

Payment

Payment summary
SoCG2005 Registration fee	€
Tickets for the social dinner	€
Lunch Tickets	€
Hotel deposit (one night per room)	€
Agency fee (EUR 10 only in case of hotel reservation)	€
TOTAL AMOUNT	€

Please note:

if you chose bank transfer, the coordinates are:

MONTE DEI PASCHI DI SIENA
AG.4,Via Baglioni,24 - Perugia
C/C 000000444836 headed to CONSULTA UMBRIA S.R.L. SOCG 05
ABI 01030 - CAB 03004 - CIN N
BIC PASCITM1PG4
IBAN IT 17 N 01030 03004 000000444836

(please send copy of the bank transfer)
if you chose credit card online payment, you will be directed to the Banca Sella website using a SSL encrypted connection. In order to proceed with the on-line payment please use Internet Explorer 5.0 or Netscape 4.76 or above.

By submitting this form you accept the general conditions described in general info, hotel info.

Consultaumbria Srl 2002-2006 - Last update: Jan 25, 2005