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<li><A href="/capetown/home.html" onmouseover="window.status=' Homepage of 28th International Symposium on remote sensing of Environment....';return true"> Home Page</a>
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<li><A href="/capetown/venue.html" onmouseover="window.status=' Cape Town, the Fairest Cape, the Mother City....';return true"> Cape Town</a>
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<li><A href="/capetown/call.html" onmouseover="window.status=' The First Call for Papers, Submit your papers for the 28th International Symposium on remote sensing of Environment....';return true"> Call for Papers</a>
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<!--start of form to register online-->
<b>Fill out this registration form, print, sign at the space below "K" and fax to:
</b>
<br>
CONFERENCES ET AL<br>
+27 21 883 8177
<p>
<b> IMPORTANT NOTES </b>
<li> Please read the preliminary programme, or the information on the web before completing your registration form.
<li> One delegate per registration form. For multiple registrations, fill out separate form.
<li> Accompanying person to complete his/her details on same form as delegate.
<li> If not applicable, leave the field open.
<p>
<b> A. DELEGATE</b><br>
<form>
<table border= 0 width = "95%" bgcolor="white">
<tr><td>
<b>Title:</b></td><td> <INPUT TYPE = "radio" name="title" value="Prof"> Prof.
<INPUT TYPE = "radio" name="title" value="Dr"> Dr.
<INPUT TYPE = "radio" name="title" value="Mr"> Mr.
<INPUT TYPE = "radio" name="title" value="Ms"> Ms.</td>
<tr><td width="40%"><b> First name </b></td><td><INPUT name="fname" size="40"
>
<tr><td><b> Family Name</b></td><td><INPUT name="Flyname" >
<tr><td><b> Institution or Company </b></td><td>
<INPUT name="Inst/Comp" size="40" >
<tr><td><b> Department </b></td><td><INPUT name=" dept" size ="40">
<tr><td><b> Address </b></td><td><TEXTAREA cols=21 name=S1 rows=4 wrap=virtual> </TEXTAREA>
<tr><td><b> City </b></td><td><INPUT name= "city" size="40"
>
<tr><td> <b>Zip/Postal Code</b> <td><INPUT name="zcode" size="40"
>
<tr><td><b> Country </b></td><td><INPUT name="country" size="40"
>
<tr><td><b>Tel</b> </td><td><INPUT name = "tel" size="40"
>
<tr><td><b> Fax</b> <td><INPUT name="Fax" size="40"
>
<tr><td><b> E-mail</b><td><INPUT name ="email" size"60" style="HEIGHT: 22px; WIDTH: 275px"></tr>
</table>
<br>
<b> B. ACCOMPANYING PERSON</b><i><a href="http://www.isrse.co.za/persons/persons.html"> Details</a></i><br>
<br>
<table border=0 width = "95%" bgcolor="white">
<tr><td><b> Title</b><INPUT name ="title" size="5" ><b>First Name</b> <INPUT name="firstname" > <br><b>Family Name </b><INPUT name="fname"
></tr>
</table>
<p>
<b>C. REGISTRATION FEES</b><i> <A href=" http://www.isrse.co.za/register/register.html">Details </a></i><br>
South African participants will be allowed to pay in Rands. See "H".<br><br>
<table border=1 width = "95%" bgcolor="white">
<TR>
<th> Registration fees <th> Until 15 December <th> From 16 December <th> Your Amount
<tr><td>Full Participation <td> US$ 495 <td> US$ 565 <td> <INPUT name="yamount" >
<tr><td> Accompanying person <td> US$ 150 <td> US$ 150 <td><INPUT name="yamount1" >
<tr><td> Full-time student <td> US$ 200 <td> US$ 200 <td><INPUT name = "yamount2" >
<tr><td> Day delegate(please complete Section C.1 below) <td> US$ 200 per day <td> US$ 200 per day <td> <INPUT name ="yamount3" >
<tr><td> Exhibitor Delegate( Registration fee included in exhibition fee) Exhibitor staff- staff manning the booth staff member No 1: <td> Fee included in exhibition fee<br><br> US$ 150 <td> Fee included in exhibition fee <br><br> US$ 150 <td><br><br><INPUT name= " yamount4" valign ="down" >
<tr><td><b> SUBTOTAL 1 </b><td colspan=3 align="right"><INPUT name=" subt1"
></tr>
</table>
<p>
<b>Registration: Day Delegate to complete</b>
<table border=1 width = "95%" bgcolor="white">
<TR>
<th width="60%">The day/s I will be attending - Please tick next to applicable date/s
<th> I will be attending
<tr><td> Monday, 27 March <td><input type="checkbox" name="C1" value="Yes">
<tr><td> Tuesday, 28 March <td><input type="checkbox" name="C2" value="Yes">
<tr><td> Wednesday, 29 March<td><input type="checkbox" name="C3" value="Yes">
<tr><td> Thursday, 30 March<td><input type="checkbox" name="C4" value="Yes">
<tr><td> Friday, 31 March <td><input type="checkbox" name="C5" value="Yes"></tr>
</table>
<p>
<b>D. WORKSHOPS</b>
<table border=1 width = "95%" bgcolor="white">
<TR>
<th>Name <th> Date and Venue <th> Your amount
<tr><td width="33%">Vegetation Structural Characterization: Tree cover, height and biomass <td width="33%">Sunday, 26 March Strand Beach Protea US$ 50 <td align="right"><INPUT name="wshops1" >
<tr><td> Making sense of remote sensing <td>Sunday, 26 March Strand Beach Protea US$ 50 <td align="right"><INPUT name="wshops2" >
<tr><td>Markovian and Cellular Atomata approaches to Land Cover Classification and Change Prediction <td>Sunday, 26 March Strand Beach ProteaUS$50 <td align="right"><INPUT name="wshops3" >
<tr><td><b> SUBTOTAL 2</b><td colspan="2" align="right"><INPUT name="wshops4" ></tr>
</table>
<p>
<b>E. OFFICIAL SOCIAL EVENTS </b><a href="http://www.isrse.co.za/social/social.html"> <i> Details</i></a><br>
<b> Full Participants, please indicate a zero cost.</b>
<table border=1 width = "95%" bgcolor="white">
<TR>
<th> Function <th> Date <th> Cost per person <th> Number of persons attending <th> Please indicate correct amount
<tr><td>ICEBREAKER AND OFFICIAL OPENING OF EXHIBITION <td>Monday, 27 March <td>25 US$ <td><INPUT size= "10" nam="events1" ><td><INPUT size= "10" nam="events1" >
<tr><td>CAPE CULTURAL EVENING <td>Thursday, 30 March <td>45 US$ <td><INPUT size= "10" nam="events1" > <td><INPUT size= "10" nam="events1" >
<tr><td><b> SUBTOTAL 3 </b> <td colspan =4 align="right"><INPUT nam= "events1" ></tr>
</table>
<p>
<b>F. OPTIONAL SOCIAL EVENT </b>( Additional cost for all participants)
<table border=1 width = "95%" bgcolor="white">
<TR>
<th> Function <th> Date <th> Cost per person <th> Number of persons attending <th> Please indicate the correct amount
<tr><td>" CAPE TOWN FOR THE NIGHT OWLS" <td>Tuesday, 28 March <td> US$15 <td> <INPUT name = "optional1" size="10"
><td><INPUT name="potional2" size="10"
>
<tr><td><b> SUBTOTAL 4 </b> <td colspan= 4 align="right"><INPUT name=" social"
></tr>
</table>
<p>
<b>G. TOURS: ACCOMPANYING PERSONS' TOURS </b><A href=" http://www.isrse.co.za/persons/persons.html"><i> Details</i></a><br>
Please note, these tours are not included in any of the registration fee categories.
Pre-booking/payment essential.
<table border=1 width = "95%" bgcolor="white">
<TR>
<th> Tours <th> Date <th> Cost per person <th> Number of persons attending <th> Please indicate correct amount
<tr><td>ACCOMPANING PERSONS TOURS:<br> TOUR A <td> Monday, 27 March <td> US$49 <td> <INPUT name = " tours1" size ="10"><td> <INPUT name = " tours2" size ="10">
<tr><td>TOUR B <td> Tuesday, 28 March <td> US$42 <td><INPUT name = "tours3" size="10"
><td><INPUT name="tours4" size="10"
>
<tr><td>TOUR C <td> Wednesday, 29 March <td> US$42 <td><INPUT name = " tours1" size ="10"><td><INPUT name = " tours1" size ="10">
<tr><td>TOUR D <td> Thursday, 30 March <td> US$ 43 <td><INPUT name = " tours1" size ="10"><td><INPUT name = " tours1" size ="10">
<tr><td><b>SUBTOTAL 5</b> <td colspan= 4 align="right"><INPUT TYPE="tex" name="subt5"
></tr>
</table>
<p>
<b>H. TOTAL COST </b><br>
<table border=1 width = "95%" bgcolor="white">
<tr><td><b> TOTAL AMOUNT DUE </b>(excl. accomodation) <td><INPUT value ="US$ ">
<tr><td> South African residents : convert to rands at 1US$ = R6 <td><INPUT name="rands" value="R"
></tr>
</table>
<p>
<b>I. PAYMENT
<br><br>
Mark applicable payment method
</b>
<table border=1 width = "95%" bgcolor="white">
<tr><td width="50%"> 1. Bank Transfer <td><input type="checkbox" name="C1">
<tr><td> 2. Credit Card <td><input type="checkbox" name="C1" ></tr>
</table>
<p>
<table border=1 width = "95%" bgcolor="white">
<tr><td colspan=3><b>1. BANK TRANSFER </b>
<tr><td colspan=3> My cheque was deposited into the 28th ISRSE/CSIR Account.
<tr><td> <b> ACCOUNT NAME </b>: <td colspan=3>28th ISRSE/CSIR
<tr><td><b> BANK: </b><td Valign="right">ABSA <td> <b>BRANCH:</b> Lynnwood Road
<tr><td><b>BRANCH CODE :</b> <td> 33-47-45-10 <td> ACCOUNT NO: 4049335121</tr>
</table>
<p>
<b>IMPORTANT</b>
<p>
Please include the following information when completing your bank transfer document. <br>
Name of the symposium: ISRSE <br>
Your Family name: eg. JONES<br>
Code for type of payment :<br>
01= Registration fee for Full Participant <br>
02= Registration fee for Accompanying person <br>
03= Registration fee for Full - time Student<br>
04= Registration fee for Day delegate<br>
05= Registration fee for Exhibitor Delegate<br>
06= Registration fee for Exhibitor Staff member<br>
<br>
If more than one type of payment is being made, please indicate the applicable types of payment eg. 01 + 02.
<br><br>
<b>Proof of payment for wire transfer must please be faxed to the Conference Secretariat at
<br>Fax 27 21 883 8177.</b>
<table border=1 width = "95%" bgcolor="white">
<tr><td colspan=3><b> 2. CREDIT CARD PAYMENT </b>
<tr><td colspan=3>I hereby authorise the Secretariat to debit my Credit Card as follows:
<tr><td><b> VISA</b> <input type="checkbox" name="C2" td ><> <td><b> MASTERCARD <input type="checkbox" name="C4"></b></td><td><b> EXPIRY DATE <INPUT >< TD></b>
<tr><td colspan=3><b> CREDIT CARD NUMBER </b><INPUT name="cnum" >
<tr><td><b> AMOUNT <INPUT
></b> <td colspan=2><b> SIGNATURE : </b> <hr> <i>(Please sign on printed copy)</i></tr>
</table>
<p>
<b>IMPORTANT NOTE:</b> If paying by credit card please also provide the last three digits on the back of <br> your credit card.<INPUT size="2"
><INPUT size="2" ><INPUT size="2"
>
<p><p>
<b>J. ACCOMMODATION <br></b><a href="http://www.isrse.co.za/accom/accom.html"><b><i>Detailed listing of accommodation options, pricing.</i></b></A><br><br>
The Secretariat reserves the right to confirm the second or third option should the other be fully booked.
<table border=1 width = "95%" bgcolor="white">
<TR>
<th> HOTEL/GUEST HOUSE <th>SINGLE/DOUBLE
<tr><td> 1st choice <INPUT ><td><br><INPUT
><td><br>
<tr><td> 2nd choice <INPUT ><td><br><INPUT
><td><br>
<tr><td> 3nd choice <INPUT ><td><br><INPUT
><td><br>
<tr><td><b> Arrival/Depature dates </b><td colspan=2><input size="50"
>
<tr><td><b> Total number of nights </b><td colspan=2><input size=5
></tr>
</table>
<p>
<b>K. ACCOMMODATION PAYMENT</b>
<table border=1 width = "95%" bgcolor="white">
<tr><td><b>CREDIT CARD</b> <td><b>VISA <input type="checkbox" name="C1" ></b> <td><B> MASTERCARD <input type="checkbox" name="C1"></B><td> <b> EXPIRY DATE <INPUT
></b>
<tr><td> <b>NUMBER</b> <td colspan=3><INPUT size="30"
></tr>
</table><p>
A deposit equal to one night' s accommodation per person is required.
<p>
I hereby authorise the hotel to debit my credit card for one night's accommodation per person to serve as guarantee of my reservation. I also accept the cancellation policy of the accommodation establishment.
<p>
The accommodation account must be settled in full by each delegate on departure
<p>
<table border=1 width = "95%" bgcolor="white">
<tr><td width="50%"><b> SIGNATURE:</b> <hr><i>(please sign on printed copy)</i> </td><td><b>DATE: <INPUT size="30" ></b></tr>
</table>
<p>
<i>Note: Should you not be able to provide a credit card number, please contact the Secretariat to make alternative arrangements.</i>
<p>
<b>L. SPECIAL REQUESTS</b>
<p>
<table border=1 width = "95%" bgcolor="white">
<tr><td>Dietary requirements (Kosher, Halaal & Vegetarian) <td><INPUT size="30" >
<tr><td>Disabilities (wheelchair facilities)<td><INPUT size="30" >
<tr><td>Smoking/ Non Smoking <td><INPUT size="30" ></tr>
</table>
<p>
<b>M. PRE AND POST CONFERENCE TOURS
<br><br>
I am interested in the following tour(s). Please provide me with detailed information.
<table border=1 width = "95%" bgcolor="white">
<TR>
<th>TOUR <th> Info please
<tr><td> Visit CSIR Satellite Applications Center <td><input type="radio" value="v6" name="R20">
<tr><td>Rovos Rail<td><input type="radio" value="V1" name="R3">
<tr><td>Garden Route<td><input type="radio" value="V1" name="R5">
<tr><td>Self drive Garden Route Tour <td><input type="radio" value="v4" name="R45">
<tr><td>Khoka Moya Private Game Lodge<td><input type="radio" value="V88"
name="R18">
<tr><td>Mpumalanga & Kruger National Park <td><input type="radio" value="V1" name="R31">
<tr><td> Victoria Falls <td><input type="radio" value="V1" name="R90" unchecked></tr>
</table>
<p>
Please contact the Secretariat by fax or e-mail for assistance with a tailor made tour.
<p>
<b>N. REMARKS</b>
<p>
<table border=1 width = "75%" bgcolor="white">
<tr><td><TEXTAREA cols=60 name=S1 rows=4> </TEXTAREA></tr>
</table>
</b></form><b>
<h3><i> PRINT YOUR REGISTRATION
FORM AND FAX TO : +27218838177
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