An example registration form that you can copy and reuse.

This is to register for the Annual Meeting of Dutch Statisticians and Probabilists to be held in the Conference Centre 'De Werelt' in Lunteren.

Registration Type  

Payment Amount   My total registration fee; which I will pay by money transfer to IBAN NL04INGB0006273908. Account owner: Bijeenkomst Stochastici, Valkenburgerstraat 131,1011 MH Amsterdam

By submitting this form, you give us permission to print your name and affilation on the list of participants, and where appropriately, charge your credit card or book meals and accommodation in your name.