8th Meeting of European Bird Curators
October 3-5, 2013
National Museum (New Building)
Prague, Czech Republic
REGISTRATION FORM
Surname
First Name(s)
Institution/Affiliation
Mailing Address
Post Code
Town
Country
Phone
Fax
E-mail
Accompanying person(s)
REGISTRATION FEE
Delegate
(70 EUR per person)
Persons:
Total:
EUR
I WILL ATTEND THE FOLLOWING SOCIAL EVENTS:
Symposium dinner
(25 EUR per person)
Persons:
Total:
EUR
Guided excursion to the bird collection
(included in the registration fee)
.
Please indicate how many persons would like to attend the excursion:
Persons:
CANCELLATION OF REGISTRATION AND REFUNDS
:
Any cancellation must be notified in writing to the Symposium secretariat. The registration fee will be refunded after the deduction of 50% if participation is cancelled prior to
September 3, 2013
. No refund will be possible after this date but complete documentation will be sent to the address of the delegate.
TOTAL PAYMENT
I enclose a copy of the
bank transfer
in the amount of
EUR.
Bank account No.: 176 970 780 / 0300
of the Conference Partners Prague Ltd.,
Èeskoslovenska obchodni banka, a. s., Anglická 20, 120 00 Prague 2, Czech Republic.
IBAN: CZ64 0300 0000 0001 7697 0780, SWIFT/BIC code: CEKOCZPP
I authorize the
Conference Partners Prague Ltd.
to charge my credit card with the total payment of
EUR.
VISA
Eurocard/MasterCard
Card holder’s name (as appears on card)
Card No.
Expiry date
