Application Form (Submission Deadline: 16 March 2009) 9th INT. SCHOOL ON FORMAL METHODS FOR THE DESIGN OF COMPUTER, COMMUNICATION AND SOFTWARE SYSTEMS: WEB SERVICES (SFM-09:WS) Bertinoro (Italy), 1-6 June 2009 ------------- PERSONAL DATA ------------- FIRST NAME: ___________________________________ FAMILY NAME: ___________________________________ MALE/FEMALE: ___________________________________ DATE OF BIRTH: ___________________________________ PLACE OF BIRTH: ___________________________________ NATIONALITY: ___________________________________ POSITION: ___________________________________ AFFILIATION: ___________________________________ ADDRESS: ___________________________________ ZIP CODE: ___________________________________ CITY: ___________________________________ STATE: ___________________________________ COUNTRY: ___________________________________ E-MAIL: ___________________________________ PHONE: ___________________________________ FAX: ___________________________________ ---- FEES ---- Registration fee: 550 euros Accommodation fee (bed, breakfast and lunch): 350 euros Reduced accommodation fee (only lunch): 100 euros ------ GRANTS ------ Please select one: 1. I request no grant. 2. I request a grant for my registration fee (specify amount, up to 550 euros): _________