registration form
*
obligatory fields
PERSON:
First Name
*
:
Surname
*
:
Title:
Email
*
:
PARTICIPATION:
Type of participation
*
:
Full registration:
Accompanying person:
Hotel booking (please, let us know which nights reserve for you):
September 21/22:
September 22/23:
SUBMITTED PAPER(S) (if applies):
Insert paper ID(s):
Insert paper(s) ID(s) for which it is full registration (this applies only if full registration option is checked).
Paper #1 ID:
Paper #2 ID:
Paper #3 ID:
Paper #4 ID:
Extra pages:
Insert total number of extra pages. This applies if number of pages exceeds 8. Additional papers are charged as for extra pages. If the number of extra pages will be incorrect you will be asked to correct the payment.
Total number of
extra
pages:
INVOICE RECIPIENT:
Address:
Institution/Name
*
:
Street (and number)
*
:
Zip/Postal code
*
:
Town
*
:
Country
*
:
Data for Invoice:
NIP/VAT code
*
:
