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47. SLÉVÁRENSKÉ DNY

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General information

Call for active participation

Advertising Leaflet

Application for active participation

Accompanying programme

Accommodation

Contact

Organizational secretariat:
TA-SERVICE, s.r.o.
Hana Bezděková
Hlinky 48, 603 00 Brno
Tel./Fax
+420 543 211 134
bezdekova@ta-service.cz

BINDING APPLICATION FORM

7^thInternational PhD Foundry Conference


Name
Surname
Degree
Name of Institute
Street
ZIP code
City
Country
VAT no
Phone
Fax:
E-mail:
Title of paper/poster
Authors
Conference fee	€ 60 /CZK 1600
Accommodation
Date of arrival:	22.6.2010 23.6.2010
Date of departure:	24.6.2010 25.6.2010
Binding booking of accommodation:
* Student Hotel Palacký, Kolejní 2, Brno	single room € 40/CZK 1 000 /person/night double room € 55/CZK 1 300 /2 persons/night
* Hotel Continental, Kounicova 6, Brno	single room € 55/CZK 1 300 /person/night double room € 70/CZK 1 800 /2 persons/night
Common room with
Payment method
Payment method	Payment by Bank transfer Payment by Credit card
Credit card details	Eurocard / Mastercard Visa
Cardholder's name:
Card Number:
Expiration Date:
CVV2 Code:

BINDING APPLICATION FORM

Accommodation

Payment method