3. Payment Registration Form - PART I 2. Registration Fee:

venezia iss 20 > 27 / 08 / 07FP_IUAV_CA’ TRON_S.CROCE_1957VENEZIA (Italy), University IUAV of VeniceRegistration Form - PART IPlease fill in this form and return via e-mail to:Prof. Paola RizziDepartment of Architecture and planningUniversity of SassariPalazzo del Pou Salit - Piazza Duomo 607041 Alghero (SS), Italy1. Personal Details (Please print in block letters or check with X when requested)Title:Prof. Dr. Mr MrsOther:Tel: +39 320 9234 096Fax: +39 070 513433E-mail:ISS07venezia@gmail.comSurname:First Name(s):Institution:Workplace Address. Street:City:Zip Code:Telephone:State:Country:Fax:Email:Name of Accompanying Person (if any):2. Registration Fee:Category Fee AmountISAGA Members or affiliated associations:AGSACiA, JASAG. SAGSET. ABSEL. ASAGA. SAGANETHispSA&A, DzSACiA, SIGIS. DiGRA.420 Euro EuroNon-Members 500 Euro EuroStudent Members 200 Euro EuroStudent non members 250 Euro EuroDeveloping Countries fee 100 Euro EuroDeveloping Countries fee Student 50 Euro EuroTotal SUM – Registration FeeEuro3. Payment(Payment has to be done by Bank Transfer. Please in order to prevent any inconvenient send via e-mail a copy of yourpayment in attach to this form)I have remitted the above sumthrough of total ongh(name of bank) to:(date) by the(remitter)Bank: Volksbank Amelsbilren eGAccount: Gesellschaft fir Planspiele,Ostereich, Schweiz e.V. Account Number:220 585 45 01 Bank Number: 400 69 600IBAN Code: DE07400696002205854501BIC/Swift Code: GENODEM1MABCancellation policy: Cancellations received before 15 June 2007 will be refunded in full. less a 50 Euro processing charge. Norefunds will be made after this date although substitutions may be made at any time.1

venezia iss 20 > 27 / 08 / 07FP_IUAV_CA’ TRON_S.CROCE_1957VENEZIA (Italy), University IUAV of VeniceRegistration Form - PART IIPlease, for a better organization of the school fill in this brief questionnaire:1) Professional Profile:1.1 Architect 1.2 Engineer 1.3 Urban Planner 1.4 Student1.5 Other2) Know-how about Gaming/Simulation and Urban Gaming/Simulation2.1 I don’t know nothing about it. For me this is the first experience2.2 I just heard something about it. But for me this is the first experience2.3 I know what is Gaming/Simulation. But I don’t have previous experience2.4 I know what is Gaming/Simulation and I have previous experience(please give us a brief description):2.5 I know what is Urban Gaming/Simulation. But I don’t have previous experience2.6 I know what is Urban Gaming/Simulation and I have previous experience(please give us a brief description):3) Personal expectation about the summer school(please give us a brief description):Cancellation policy: Cancellations received before 15 June 2007 will be refunded in full. less a 50 Euro processing charge. Norefunds will be made after this date although substitutions may be made at any time.2