ECLAS CONFERENCE WARSAW 2012.
THE POWER OF LANDSCAPE. 19-22 September 2012.

REGISTRATION FORM (Please use this form to register individually)

Title: / Academic Title(s):
First name:
Surname:
Institution/Organization:
Department:
Profession:
Address:
City and zip code: / Country:
E-mail: / Phone:
CATEGORY / ECLAS member / Non ECLAS member / Student
Author / Participant

Please, fill the form below, in case you need an invoice (please, notice to write data of institution or person who will finance the fee).The invoice will be drawn after the payment.

Do you need an invoice?
Please remember that the invoice will be issued only for an actual payer (person or institution, from whose account the transfer was proceeded).
Name of institution (person)
City:
NIP UE/VAT number:
Address:
Postal code:
Country:

SPECIAL EVENTS

Yes / No
Are you attending Wednesday evening reception event? (free of charge)
Are you attending Saturday evening casual event? (free of charge)
Are you attending Wednesday pre-conference tour / workshops? (free of charge) Choose only one:
1. Warsaw Old Town Secrets
2. Royal Łazienki Park
3. Water Centre, Campus of Warsaw University of Life Sciences
4. PhD Workshops

ECLAS 2012 FIELD TRIPS

Are you attending Saturday field trip (22nd Sept 2012)? (separate cost 200 PLN) Choose only one:
1. Vistula Blue Ribbon in Warsaw
2. Mazovian Landscapes – Landscapes of F. Chopin: past, present and future
3. Historical parks: Nieborów, Arkadia, Żelazowa Wola

REGISTRATION FEES

Early bird (by20thMay 2012) ECLAS member: 1200 PLN (+ 200 PLN in case of participation in a field trip on Saturday)

Early bird (by20thMay 2012) Non-ECLAS member: 1400 PLN (+ 200 PLN in case of participation ina field trip on Saturday)

Standard fee (from 21stMay to 1stAugust 2012) ECLAS member: 1400(+ 200 PLN in case of participation in a field trip on Saturday)

Standard fee (from 21stMay to 1 August 2012) Non-ECLAS member: 1600(+ 200 PLN in case of participation in a field trip on Saturday)

Student fee: 600 PLN(+ 200 PLN in case of participation in a field trip on Saturday)

Authors must register till 15th June 2012!

Details for bank transfer:

Account holder: / Warsaw University of Life Sciences - SGGW
Bank: / Bank Polska Kasa Opieki S.A., Oddział w Warszawie
ul. Nowoursynowska 166, 02-787 Warszawa
Bank account: / PL 83 1240 6003 1111 0000 4943 9881
Swift code: / PKOPPLPW
Make reference to: / Your name and 507-20-04010005

Please remember, that the total fee must be transferred within 10 days after registration. Otherwise, the registration is not valid.

Please send us a transfer confirmation to

Conference fee includes:Pre-conference workshops and tours on Wednesday 19th September; Welcome Reception on Wednesday 19th September evening; All conference sessions on Thursday 20th and Friday 21st September; All daytime refreshments, coffees and lunches on Thursday and Friday; Civic reception on Thursday 20th September; Formal Banquet on Friday 21st September; Farewell party following field trips on Saturday 22nd September; Conference pack (including the publication of conference proceedings)

Cancellation and refund policy
To cancel your registration, send an email stating your intent to cancel to . Cancellation by 31st July 2012: Refund of 80% of the registration fee. Cancellation by 31st August 2012: Refund of 50% of the registration fee. No refund will be issued after 31st August 2012. Substitution of participants is possible.

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Date and Signature