REGISTRATION FORM

Please send the completed form to the Organizing Secretariat

By mail: / By fax:
Guarant International, spol. s.r.o. / +421 2544 30 206
Smetanova 13
811 03 Bratislava / Via Conference web site:
Slovak Republic / http://www.ectp.sav.sk

Please note that only properly completed booking forms with all required details will be accepted. Please read the registration before complete form. Please use BLOCK CAPITALS.

PARTICIPANT DETAILS

Top of Form

Family name*:
First name*: / Title: / Mr. Ms./Mrs.
Click to change status
Position:
Department:
Institution:
Address:
City:
Post code:
Country*:
Phone - Country code: / Area code: / Number:
E-mail: / Fax:

Bottom of Form

* compulsory items

ACCOMPANYING PERSON(S) DETAILS

Top of Form

Family name: / First name: / Title: / Mr. Ms./Mrs.
Family name: / First name: / Title: / Mr. Ms./Mrs.
Click to change On/Off status

Bottom of Form

REGISTRATION FEES

Early registration was closed (Deadline - 7.7.2005) / On or after 7.7.2005
Participants / 400 EUR
Accompanying Person / 70 EUR
Students / 65 EUR

Cancellation conditions for registration : before July 7, 2005 - 100% refund less 40 EUR administration fee

from July 8 to August 4, 2005 - 50% refund

from August 5 to August 19, 2005 - 25% refund

from August 20, 2005 - no refund

The registration fees include:

Participant – admission to all scientific sessions, conference materials, social events, coffee breaks, lunches

Accompanying Person – admission to the conference venue (excluding scientific sessions), social events

Students – admission to all scientific sessions, program, book of abstracts, coffee breaks, lunches, badge

All refunds will be handled after the conference.


HOTEL ACCOMMODATION

The Organizing Secretariat will arrange a low-cost accommodation upon individual requirements.

Hotel* / Categories / Single room / Double room / Select
1 / Danube / **** / --- / 155.3 EUR /
2 / Crowne Plaza (Fórum) / **** / --- / 202.5 EUR /
3 / Radisson / ***** / 228.5 EUR / 253.0 EUR /
4 / Devín / **** / 156.5 EUR / 181.2 EUR /
5 / Tatra / *** / 95.3 EUR / 117.4 EUR /
6 / IBIS / *** / 96.0 EUR / 105.6 EUR /
7 / Grácia – botel / *** / 61.8 EUR / 83.7 EUR /
8 / Far-way – botel / *** / 40.6 EUR / 54.0 EUR /
9 / Marina – botel / **** / 61.5 EUR / 79.2 EUR /
10 / Incheba / *** / 42.0 EUR / 53.0 EUR /
11 / Astra / ** / --- / 34.6 EUR /
12 / Youth Hostel Družba / * / 40.2 EUR / --- /
13 / Junior Hotel / ** / 47.0 EUR / 53.0 EUR /
14 / Turist Hotel / ** / 33.50 EUR / 40.5 EUR /
Type of room: / Single Double
Days: / September / 3rd / 4th / 5th / 6th / 7th / 8th / 9th / 10th / 2005
No. of nights: / Departure
Sharing with: /

Cancellation conditions for accommodation: before July 20, 2005 - 100% refund less 10 EUR administration fee

from July 21 to August 6, 2005 - 70% refund

from August 7 to August 20, 2005 - 50% refund

from August 21, 2005- no refund

PICK UP SERVICE AT THE AIRPORT

A pick up service and transportation to congress hotels will be provided upon request. Please include below your flight schedule to be sure having the corresponding transfer.

No. / Hotel* / Date / Pick up Time / No. of people / Type of car / Price for 1 person / Total price
1 / Up to 1 person / 37 EUR
2 / Up to 3 people / 24 EUR
3 / Up to 7 people / 16 EUR

TOURS

Date / Tour / Time / No. of people / Price for 1 person / Total price
Half day tours
4.9.2005 / Sightseeing Bratislava / 5 p.m. / 22 EUR
4.9.2005 / Boat Trip to Devín / 11 a.m. / 22 EUR
4.9.2005 / Evening in a Thief’s Shed (Koliba) with Folk Music / 6 p.m. / 35 EUR
5.9.2005 / Sightseeing Bratislava / 5 p.m. / 22 EUR
6.9.2005 / Walk through Bratislava Centre / 9 a.m. / 19 EUR
6.9.2005 / Boat Trip to Devín / 11 a.m. / 22 EUR
7.9.2005 / History of Viniculture and Wine Tasting / 2 p.m. / 24 EUR
8.9.2005 / Evening in a Thief’s Shed (Koliba) with Folk Music / 6 p.m. / 35 EUR
Full day tours
5.9.2005 / Malé Karpaty Wine Trail / 9 a.m. / 56 EUR
7.9.2005 / Wien / 9 a.m. / 58 EUR

8.9.2005

/ Piešťany Spa and Trnava / 9 a.m. / 73 EUR
Post-Congress tours
9.9.2005 / High Tatras / 9 a.m. / 395 EUR
9.9.2005 / Trenčín, Trenčianské Teplice / 9 a.m. / 79 EUR
9.9.2005 / Čzech Republic / 9 a.m. / 350 EUR

Cancellation conditions for tours: before July 7th, 2005 - 100% refund less 10 EUR administration fee

from July 8th to August 19, 2005 - 50% refund

from August 20th, 2005 - no refund

SOCIAL EVENTS

Program included registration fee:

Get together party / I will participate / YES NO
Reception / I will participate / YES NO
Gala dinner / I will participate / YES NO
(Click to change On/Off status)

This event is free for all participants. Tickets will be distributed for free at the Registration desk.

GRAND TOTAL

Registration fees / EUR
Social events / EUR
Accompanying person’s program / EUR
Pick up at the airport / EUR
Hotel accommodation / EUR
Grand Total / EUR


PAYMENT

·  I will pay by bank transfer the total amount of EUR to:

Bank address : Československá obchodní banka, a.s.

Pobočka zahraničnej banky vSR

Michalská 18

815 63 Bratislava

Account no. inSKK : 4002358717/7500

IBAN: SK83 7500 0000 0040 0235 8717

SWIFT: CEKOSKBX

Account name: Guarant International, spol. s.r.o.

Address: Opletalova 22

110 00 Praha 1

Česká republika

Details of payment: ECTP / (your name)

Please note that bank charges must be fully covered by the participant.

A copy of the bank transfer must be sent together with the Registration Form.

·  I enclose a check for the total amount of EUR made payable to Guarant International, spol. s.r.o.

·  I am a paying the total amount of EUR by the following credit card:

Click to change status

Credit Card Number: Expiry date:

CVV2 / CVC2 code*:

*Last three digits printed on the signature panel / CVV2 code is new field introduced by Europay and VISA systems in order to improve transactions security. The CVV2 three-digit value is printed on the signature panel on the back of Visa cards immediately following the Visa card account number.

Cardholder’s name

Cardholder’s address if different from the delegate name

FISCAL DATA FOR INVOICE

Invoice heading
Address
Post code / City / Country
VAT No.
for EU companies only

SIGNATURE

I have read and accept the booking / cancellation terms as stated in the Final Announcement.

Date June 29, 2005 Signature ………….……………………………………

To update a date field, use click of right mouse button over the field, and then update field command in context menu.

Pre-registrations will NOT be accepted after 1 June 2005. Please keep your forms and payments for On-site registration.

Please remember to make a photocopy of this form for your own records!

If you prefer to fax this registration form to the Conference Secretariat, please fax all sides.

Mrs. Jitka Puldová

ECTP Conference Secretariat

Fax: +420 284 001448

Mail: