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Registration Form

Registration form

Late registration: extra charge after 31 July, 2006!

Participant

Sex female     male
Title
Last name
First name

Organization

Department

Address
Zip/postal code
City
Country
Phone (+ country code)
Fax
E-mail
Remarks

Presentation

Oral presentation       Poster presentation

Please choose the session (short title) related to your presentation:


Other topic:


No presentation

Food

I prefer vegetarian food

Expectations

What I expect from the Conference:

Fees

Normal conference fee CHF 645.- (approx. € 430.-)       Reduced fee CHF 345.- (approx. € 230.-)

Excursion

One-day excursion CHF 55.- (approx. € 35.-)

      Two-day excursion is fully booked!

One-day passes

One-day pass for: Normal fee CHF 215.-
(approx. € 145.-)
Reduced fee for students CHF 115.-
(approx. € 75.-)
Wednesday, 13 September 2006
Thursday, 14 September 2006
Friday, 15 September 2006

Method of payment

Bank transfer (in Swiss Francs!) to:

Raiffeisenbank Mutschellen-Reppischtal
Agency: CH-8903 Birmensdorf, Switzerland
Account no.: 58536.76
IBAN: CH08 8067 3000 0058 5367 6 / CHF
Account Holder: Eidg. Forschungsanstalt WSL
Keyword (compulsory!): Conference MMV-3 2006
Names of Participant: .....
Invoice no.: .....

Please make sure that all bank charges are covered and that your payment order also contains the name of the participant as well as the number of your invoice. (You find the number of your invoice on the confirmation of your registration.)

I pay with credit card

     

 
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