EUROMECH 406 | EUROPEAN MECHANICS SOCIETY Colloquium |
IMAGE PROCESSING METHODS in APPLIED MECHANICS, May 6-8, 1999, Warsaw
Tomasz A. Kowalewski,
Witold Kosiñski (IPPT PAN & TPO Warszawa), Jürgen Kompenhans, DLR Göttingen
REGISTRATION AND ROOM RESERVATION FORM
Name: ................................ Surname: ..........................................
Affiliation: ...........................................................................................
Address: ...........................................................................................
Fax: ..................................... Phone: ......................
E-mail: ...........................................................................................
Number of accompanying persons ..............................................................
Arrival date: .............................. Departure date: ...............................
Full Conference Fee
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PLN 1450.00 |
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Reduced Conference Fee
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PLN 1300.00 |
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Accompanying Person(s):
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PLN 900.00 |
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3 nights for extra person in double bed room, lunches |
PLN 600.00 |
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Student's fee
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PLN 300.00 |
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Late Registration extra charge (paid after 15.04.1999) |
PLN 150.00 |
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Please reserve for me extra nights:
..........................
single-bed / double-bed / apartment |
TOTAL PLN |
X |
Please make for me the above reservations. |
I will pay amount of ................................................. (incl. Late Registration) after my arrival. |
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I transferred amount of ... .................. through Bank .................................. on |
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Herein I enclose a cheque payable to "TPO, Euromech 406, Warszawa", for amount of: .......................... |
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My Euromech Membership No: ....................................... member since: |
Date:............................................ |
Signature:............................................ |
Our Bank details:
TPO, Swietokrzyska 21,
PL 00-049 Warszawa,
Bank PKO BP X Od. Wwa, PL 00-950 Warszawa,
Account no: 10201101-551179-270-1-4, note:
"Euromech 406 fee for: Your Name".
Please return completed and signed booking form as soon as possible to:
Elzbieta Rybakiewicz
EUROMECH 406 Secretariat
IPPT PAN,
Swietokrzyska 21,
PL 00-049 Warszawa, Poland
Fax: +48-22-8269815