University of Southern Denmark, Campusvej 55,
5230 Odense M
3900 DKK (Includes room and meals from July 4 at 18:00 until July 7 at 17:00, but not the optional excursion)
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Name (on credit card):
Address (card holder):
The cardholder hereby authorizes University of Southern
Denmark to draw the above amount on this account. The amount
is past due on May 2, 2004.
Please enter the
following registration information through your browser:
Please fill out this form through your web
browser (for legibility), print this page, sign it, and fax it
before May 2 to OLA 2004, IMADA, SDU, +45 6593 2691.
We will acknowledge this typically the next working day.
If you do not receive an acknowledgment,
please contact us, since otherwise we cannot guarantee a room.
Also, please send a copy by mail to OLA 2004, IMADA, University of Southern Denmark,
Campusvej 55, DK-5230 Odense M, Denmark.