REGISTRATION FORM:

To be returned to:
Pr Mohamed JAOUA
PICOF '98
LAMSIN - ENIT
BP 37, Le Belvédère, 1002 Tunis
TUNISIE

Deadline for registration: March 15, 1998

PICOF '98
Conference on Inverse Problems, Control and Shape Optimization
April 8-10, 1998 - Palais de Beït El Hikma - Carthage, Tunisia 

Last Name: ..............................................................................


First Name: .............................................................................


Affiliation: ............................................................................


Full address: ...........................................................................

.........................................................................................


Zip Code: .......... City: .......................... Country: ..........................


Phone: ..................... Fax: ..................... E-mail: .........................

Registration fees:

200 TD (Dinars Tunisiens / Tunisian Dinars) (1 TD = 0,8$ US = 5 Frs)

Gala Dinner (50 TD)   Yes        No     

I enclose my payment by:
  Bank transfer        Check     

To the following account:

SMT - MAGMAT
CC n° 077 102210 - 3 11294
Société Tunisienne de Banque - Agence EL MANAR

I need a hotel reservation   Yes        No     

Date:
Signature:


webmaster@inria.fr