Application Form (Submission Deadline: April 10, 2001) INTERNATIONAL SCHOOL ON FORMAL METHODS FOR THE DESIGN OF COMPUTER, COMMUNICATION AND SOFTWARE SYSTEMS: PROCESS ALGEBRAS (SFM-01:PA) Bertinoro, Italy, 23-28 July 2001 FAMILY NAME: FIRST NAME: MALE/FEMALE: DATE OF BIRTH: PLACE OF BIRTH: TITLE: POSITION: AFFILIATION: ADDRESS: ZIP CODE: CITY: STATE: COUNTRY: PHONE: FAX: E-MAIL: RECOMMENDATION LETTER FROM: FEES ---- Registration: 400 EUR Accommodation (half board): 400 EUR ------- 800 EUR GRANTS ------ - Travel: Using the most economical way of travelling, my travel costs amount to _____ EUR. I hereby request a support for my travel expenses to the amount of _____ EUR. - Accommodation: I request a support for my accommodation expenses to the amount of _____ EUR. - Registration: I request a support for my registration expenses to the amount of _____ EUR. Other sources will contribute to my expenses: Travel expenses: _____ EUR Accomodation: _____ EUR Registration: _____ EUR Date ............ Signature ......................... - REGISTRATION - METHOD OF PAYMENT (in case of submission acceptance, due by June 23, 2001). Bank transfer to Cassa di Risparmio di Forli' account number: 27991/55 acount holder: Ser.In.Ar. S.p.A. Swift code: CRFOIT2F (for international bank transfer) Abi 6010 Cab 13200 (for bank transfer within Italy) Please, send a fax (+39-0543-450204) with the coordinates of your bank transfer to Andrea Bandini.