Sixth International Conference on TWO-PHASE SYSTEMS FOR GROUND AND SPACE APPLICATIONS, Cava de’ Tirreni (Napoli), Italy, September 25-28, 2011
Identity / Dr/ Prof/Mrs / Mr
First Name
Patronymic Name
Last Name
Academic Degree
Organization / University / Institute / Company
Dept. / Division
Laboratory
Street name
Nr
Post Box
City
Zip Code
Country
Telephone
Fax
Title of abstract
Presenting author
Date of arrival/date of leaving/duration of stay
(if already known)
Food preferences (vegetarian, etc.)
Accompanying Persons / First name/Last name
Date of arrival / date of leaving / duration of stay
"Early-bird" Registration (BEFORE JUNE 01): (Welcome Reception, Coffee Breaks, Lunches, Banquet, Book of abstracts and a copy of the special issue of MGST journal) per person: 350 Euro
Late Registration (AFTER JUNE 01 AND BEFORE JULY 30): (Welcome Reception, Coffee Breaks, Lunches, Banquet, Book of abstracts and a copy of the special issue of MGST journal) per person: 370 Euro
On-site Registration: (Welcome Reception, Coffee Breaks, Lunches, Banquet, Book of abstracts and a copy of the special issue of MGST journal) per person: 410 Euro
PHD Student (Welcome Reception, Coffee Breaks, Lunches, Banquet, Book of abstracts and a copy of the special issue of MGST journal): 330 Euro
Accompanying Person (Welcome Reception, Lunches, Banquet): 110 Euro
Total to pay in EURO:
Bank Transfer Payment
Use the following bank account information to pay Total Fee.
Please note that BANK CHARGES are not included in the Registration Fee.
Specify your name and purpose (Workshop’11) when you will transfer your registration fee. / Legros J.-C. and Kabov O. (HTI, Workshop)
FORTIS Banque
Montagne du Parc 3, 1000 Bruxelles
No 0014 9344 8473
BIC GEBABEBB
IBAN BE27 0014 9344 8473
BANK CHARGES ARE NOT INCLUDED IN THE REGISTRATION FEE
Please fill in and send this form to the WorkshopSecretary via e-mail .
The registration deadline is 30 July 2011.