Application Form (Submission Deadline: July 9, 2002) THIRD INTERNATIONAL SCHOOL ON FOUNDATIONS OF SECURITY ANALYSIS AND DESIGN Bertinoro, Italy, 23-27 September 2002 FAMILY NAME: FIRST NAME: MALE/FEMALE: DATE OF BIRTH: PLACE OF BIRTH: NATIONALITY: TITLE: POSITION: AFFILIATION: ADDRESS: ZIP CODE: CITY: STATE: COUNTRY: PHONE: FAX: E-MAIL: RECOMMENDATION LETTER FROM: FEES ---- Registration: 300 EURO Accommodation (full board): 300 EURO -------- 600 EURO