INTERNATIONAL CONFERENCE ON ADVANCES IN CONVEX ANALYSIS AND GLOBAL OPTIMIZATION Registration Form Please fill in this form and e-mail, mail or fax it to the Conference Secretariat: Mrs Thea Vigli-Papadaki, University of the Aegean, Department of Mathematics, 83200 Karlovassi, Samos, Greece. Tel. +30 273 82021, 82020 Fax. + 30 273 82009, e-mail: acago@math.aegean.gr 1. Personal details Title: ________ Last Name:_________________________________________ First Name:________________________________________________________ Institution:_______________________________________________________ ___________________________________________________________________ Accompanying persons (Please specify ages of accompanying children): ___________________________________________________________________ Tel:__________________________ Fax:________________________________ e-mail:____________________________________________________________ Address (street, city, zipcode, country): _________________________ ___________________________________________________________________ ___________________________________________________________________ Arrival date: _____________________ Flight number: ________________ Departure date: ___________________ Flight number: ________________ (If available) 2. Registration Fee Early (before 31/03/00) - 250 US$___________ Late (after 31/03/00) - 300 US$___________ The fee includes: admission to all sessions, the Conference dinner, coffee breaks, an one-day excursion around the island and a copy of the proceedings when published by Kluwer Acad. Publishers. 4. Payment method Please charge my Credit Card (check one): Visa ___________ Mastercard ___________ American Express ___________ Name on Credit Card:________________________________________________ Credit Card No:_____________________________________________________ Exp. Date:_________________________ Date:___________________ Signature:_________________________________ Money transfer to bank account: ___________ Bank Name: National Bank of Greece, Postal address: 8 Panepistimiou St. GR10671 Athens, Greece, Fax: +30 1 3614211, SWIFT Code: ETHNGRAA XXX, Account No: 163/48040235, Beneficiary: Research Unit, Univ. of the Aegean, Indication: ACAGO All bank charges must be covered by the payer. Please notify the Symposium Secretariat as soon as you make the transfer.