HET 2000 CONFERENCE REGISTRATION

Name:

University or other affiliation:

Office address:

Home address:

e-mail:

I will participate as (tick one):

Special dietary requirements: vegetarian / other …

Lodging preference (only a small number of double rooms is available):

Method of payment

a. a cheque is included - payable to HET 2000, Faculty of Economics, code 222165

b. I authorize credit card payment (tick one):

Card number:

Expiry date:

Address with card:

Signature:

Return to:

HET 2000
SOM Research School
PO Box 800
9700 AV Groningen
Netherlands