---------------------------------------------------------------------------- Joint European and National Astronomical Meeting for 1997 JENAM - 97 2 - 5 July 1997 R E G I S T R A T I O N F O R M ---------------------------------------------------------------------------- Please complete the Payment Form as well. Submit this form by normal post or fax to the Contact address of the Local Organising Committee. Deadline for early registration: March 15, 1997 Direct questions to: elaset@astro.auth.gr. ---------------------------------------------------------------------------- * You will receive a confirmation from the LOC as soon as your registration has been processed. Family Name: .............. First name: ............... Initials: .......... Title (Professor/Dr./Mr./Mrs./Miss/Ph.D. Student) .......................... Affiliation for Name Badge : ............................................... E-mail: .................................................................... Phone number: ...................... Fax number: ........................... Institution: ............................................................... Postal address: ............................................................ ............................................................ Accompanying person(s): .................................................... Early Registration Late Registration No. of (until March 15, 1997) (after March 15, 1997) persons (US$) (GDr) (US$) (GDr) General registration ...... ....... ....... ....... ....... EAS Ordinary Member ...... ....... ....... ....... ....... EAS Junior Member ...... ....... ....... ....... ....... HelAS Ordinary Member ...... ....... ....... ....... ....... HelAS Junior Member ...... ....... ....... ....... ....... Accompanying Person ...... ....... ....... ....... ....... Total amount ....... ....... ....... ....... Will you be presenting a paper? (YES-Please complete the Paper Contribution Form/NO) . . . . . Signature: . . . . . . . . . . .