Online Registration Form for LiU employees (only!)

Personal Information

Title
First Name
Family Name

Affiliation (Department, Institution/Organization)


Mailing address

E-mail
Fax		Telephone

Conference fees(All prices include %25 Swedish VAT.)

	Delegate fee, if registered by June 1, 2000	SEK   2500
	Delegate fee, if registered after June 1, 2000	SEK   3000
	I also register for the PBL Introduction, September 16-17. The PBL-introduction fee is not included in the ordinary registration fee.	SEK   1500
One day registration Fee includes lunch and coffee, but does not include the conference dinner on September 18.
	One day registration, if registered by June 1, 2000	SEK   1000
	One day registration, if registered after June 1, 2000	SEK   1200
	September 18
	September 19
	September 20
	Student
Fees are reduced due to University sponsoring.

Special dietary requirements

An invoice of your conference fees will be attached with the registration confirmation.

ATTENTION: Full payment for conference fee should kindly be paid using MZ Travel Event postalgiro 37 57 42-4 or bankgiro account no 5644-1918, or transfer the amount direct to their bank account. Please instruct your bank to forward payment orders, collections and documentary credits direct to: SWEDBANK, S-105 34 STOCKHOLM, SWIFT ADDRESS: SWEDSESS Account/ compte no 8480-6 4.103.761-5. All payments must be marked with invoice no and your name.