Blaise Pascal International Conference on Financial Modeling  

Registration Form
Villiers-le-Mahieu July 1-3, 2003

Please e-mail to traore@ensae.fr

Or fax to +33 1 41 17 76 66

Deadline: May 15, 2003

Last Name, First Name                                                                                                 

Affiliation                                                                                                                                                                                                             

Address :                                                                                                                                                                                                            

                                                                                                                                                                                                      

City :                                     Country and Postal code                                                                     

Phone :                                                                   

E-mail                                                                                             

           

Registration fees

Academics                           300€                       

Professional                        1000€                     

You can write a check in Euros to Institut Europlace de Finance and send it to Fanda Traore, CREST, timbre J320, 15 Boulevard Gabriel Peri, 92245 Malakoff Cedex, FRANCE or make a bank transfer. In the case of a bank transfer, please indicate clearly to your bank that all the transfer fees (the sender as well as the receiver ones) are due by the sender. The bank account references are Institut Europlace de Finance, CCF PARIS PALAIS ROYAL, Banque 30056, Guichet: 00045, Compte: 00455455192, Clé: 81.

Accomodation

A limited number of rooms have been reserved at a preferential rate of 400€ for 3 nights at the conference place (http://www.chateauxhotelsfrance.com/public/phps/fiche_hotel.php?id_hotel_chf=423). Additional fees for spouses: 37 Euros per night, including breakfast. Supplementary lunch or dinner: 46 Euros per person, per meal.

Furthermore, a very limited number of rooms are available at the Auberge de Thoiry (http://www.selenite.com/adt/gb/1.html) with per night prices ranging between 49€ and 72€ for 1, 2 or 3 people.

Arrival date :

Departure date :

Do you want to stay at the conference place?

                                                Yes                                              No      

                                                Accompanying person                      Number of nights and meals :

Do you want to stay at the Auberge de Thoiry?

                                                Yes                                             No      

Are you willing to share your room with some one else?

                                                Yes                                             No      

 

Payment:   Registration:

                          Accomodation:

  Accompanying person:

  Total amount of payment:

                                              

Date of the payment :                 

Reference of the Wire (from your bank receipt) or of the check (bank, check number) :            

 

Financial support

A limited financial support is available upon request. It is mainly based on a redistribution scheme and depends then on the number of registrations.

Do you need a financial support ?

                                                Yes                                              No      

Specify

 

 

 

Signature: