Participation Form of the International Conference

Participation form of the International Conference

IV’th International Conference on:“SECURITY OF THE CENTRAL-EASTERN EUROPE’S COUNTRIES IN THE CONTEXT OF EASTERN STRENGTHENING THE OF NATO’S EASTERN FLANK”, 13-14 June 2018, Pomeranian University Słupsk, 76-200 Słupsk)

A. PERSONAL DATA

1) First and Surename:......

2)Scientific tittle/Position held:......

3) University (Institution):......

......

NIP (for invoice) ......

Street:...... Post Code /City:......

Phone number:...... Fax:...... E-mail:......

4) Data for a VAT invoice from conference fee for (tick appropriate):
[ ] name and address of the institution (as in point 3)

[ ] other data ......

VAT invoice please send by post, …………I will collect in person during the conference………

B. PARTICIPATION

I would like to present the paper YES NO

Tittle of the paper ………………………………………………………………………………………………

I accept the terms set out in the publishing agreement.

C. CONFERENCE FEE

Type of declaration (put the "X" sign next to selected options)::

Included : participation in the conference along with: conference materials, publication, lunch on 13/14.06.2018, a gala dinner on 13/06/2018 and a conference buffet is PLN 450
The fee for the publication, without participation in the conference is PLN 200

Please pay the fee on the account of the number:

02 1240 3770 1111 0000 4068 0617, Akademia Pomorska w Słupsku

With a note: subaccount number: 249-518.konferencja „Bezpieczeństwo państw Europy Środkowo-Wschodniej w kontekście wzmocnienia wschodniej flanki NATO” not later than 30.04.2018

D. ACCOMMODATION

There is a possibility of accommodation at the Academic Housing Estate of the Pomeranian University in Słupsk. The cost of double room is PLN 39, PLN 50 in a single room. Individual reservation of places is required at the following phone numbers: DS3 - Tel. (+4859) 84 05 367 (366), DS4 - Tel. (+4859) 84 05 377 (369). The number of places is limited.

The completed participation form with the signed copyright transfer agreement must be sent

By e-mail:

or by post:

Akademia Pomorska w Słupsku

Instytut Bezpieczeństwa Narodowego

Wydział Nauk o Zarządzaniu i Bezpieczeństwie

ul. Kozietulskiego 6-7

Place, date …………………..……….. signature………..……………………