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REGISTRATION

REGISTRATION FORM
17TH TRIENNIAL CONFERENCE OF THE EAPR
Brasov, July 06 to 10, 2008
  • Please fill in one separate form for each participant
  • Fields marked with "*" are obligatory
  • Send this Registration Form before January 31, 2008  by e-mail, Fax or regular mail to the Organizing Committee (early registration):
  • Final Registration: June 6th
  • Final Submission of Abstracts: March 15th
1. GENERAL DATA
Title: *
Family Name: *
First Name: *
Estimated arrival: * July 2008
Departure: * July 2008
Organization: *
Address: *
Town: *
Zip code: *
Country: *
E-mail: *
Tel: *
Fax:
2. PRESENTATIONS
Total number of presentations: *
  • Please fill in one separate box for each presentation. Indicate oral/poster in each case. Use the copy, cut and paste facilities.
  • Your Description will help the Scientific Committee to evaluate your contribution.
Presentation 1   
Title:
Description max 100 words:
Presentation 2   
Title:
Description max 100 words:
Presentation 3   
Title:
Description max 100 words:
Presentation 4   
Title:
Description max 100 words:
Presentation 5   
Title:
Description max 100 words:
3. PAYMENTS
  • Please indicate your Status and No. of AP below and enter the total amount
Status Payment time:
Before 31.01.2008 After 31.01.2008
EAPR member 350 Euro 450 Euro
Company (EAPR member) 420 Euro 550 Euro
Non-member 475 Euro 575 Euro
Student 190 Euro 240 Euro
  • Students have to provide an accredited document by separate mail, e-mail or Fax
Number of Accompanying Persons 230 Euro per Accompanying Person 280 Euro per Accompanying Person
  • Please fill in their First names and Family names in the rows below
Person 1:
Person 2:
Person 3:
Person 4:
Person 5:
Total amount due (Euro):

Payment Method / Description

  • Please, indicate your Payment Method below

I will remit the total amount in EURO ( free of any bank charges ) by:
Cheque made payable to "INCDCSZ- BRASOV"

Bank transfer to the bank:

RAIFFEISEN BANK (RZB), ROMANIA, BRASOV

IBAN: RO 57 RZBR 0000060009181581

SWIFT: RZBR ROBU

STREET MIHAIL KOGALNICEANU 3, BRASOV, ROMANIA
Account holder:
INCDCSZ BRASOV Subject: "EAPR2008".

* Indicate clearly the participant name(s) of the registration fee!

4. Special bus line - OPTIONAL!!!
Indicate clearly your options for bus line-transport.
Detailed information about transport, see here.
5. COMMENTS
 
 
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