Dahlia Greidinger International Symposium on

Nutrient Management under Salinity and Water Stress

February 28 - March 4, 1999

Registration/Payment Form

 

To:

Prof. em. J. Hagin

Faculty of Agricultural Engineering

Technion, Haifa, 32000, Israel

Fax:

E-Mail:

- 972-4-822-1529

aggreid@tx.technion.ac.il

 

Name:

 

Fax:

 

Address:

 

E-Mail:

 

 

 

Passport No.

 

 

 

 

 

Country:

 

Accompanied by:

 

 

I would like to present:

 

a paper

 

a poster

on:

 

 

Please check and fill in the appropriate answers regarding accomodations and travel arrangements:

 

Yes, I want transportation from Ben Gurion Airport to Haifa at the cost of $15/person.

 

Payment has been included along with the registration fee.

 

Please reserve at the

 

Dvir Hotel

 

Nof Hotel:

 

 

A Double room for the following dates:

 

 

 

A Single room for the following dates:

 

 

Yes, I intend to participate in the two day professional tour. Please reserve:

 

 

A Double room at the cost of $338

 

 

A Single room at the cost of $198

 

 

Yes, my traveling companion intends to participate in the Companions’ program. Please send

 

the information regarding the various tours.

 

Yes, I am interested in the Additional Tours. Please send the information regarding the various tours.

In order to guarantee your accommodations the following credit card information is required:

 

 

 

 

 

Type (Visa, MasterCard, etc.)

 

Number

 

Expiration Date

 

Payment of Registration Fees: $200 before 15 November 1998 or $250 after 15 November 1998

1. Check #:

 

Bank Name:

 

Date:

 

2. Bank Transfer from:

Bank Name:

 

Dat:

 

to Leumi Bank, Technion Branch, Haifa, Account: 50490/14 “Dahlia Greidinger Symposium”

 

Signature: