Registration form for MeTrApp 2011
PARTICIPANT (please type or print in capital letter)
Family Name ______
First name______
Title______
Address ______
Affiliation______
Phone ______Fax ______
E-mail ______
Paper Reference Number (from the notification letter of acceptance) ______
REGISTRATION FEE (please chose one)
The Registration fee covers the complete program of the MeTrApp 2011 Conference (the technical sessions, coffee breaks, Welcoming, lunches, dinners, the conference banquet, excursion) and theconference book published in Springer.
Early Registration/IFToMM Members 300 Euro
Registration after June 30, 2011 400 Euro
Students/Accompanying Person 250 Euro
Accepted papers will only be included in the conference book if at least one of the authors is registered byJune 15, 2011.
METHOD OF PAYMENT
Payment in EURO without any charges to the beneficiary should be made by Bank transfer to:
Account holder/institution name: Universitatea Politehnica din Timisoara
Institution address: Pta Victoriei no. 2, 300006 Timisoara, Romania
VAT registration number ("cod fiscal" or "CUI") of the institution: RO 4269282
Bank name: BCR Timisoara, Sucursala Bastion
Bank address: Pta Sf.Gheorghe no.1, 300085 Timisoara, Romania
Swift code: RNCBROBU
Account number (IBAN): RO33RNCB0255008330450002
Please make sure to include the following text: Registration fee for MeTrApp 2011 for.... (your full name) and the paper reference number (indicated on the letter of acceptance).
ROMANIAN
Plata in LEI (RON) se va face prin transfer bancar la:
Beneficiar: Universitatea Politehnica din Timisoara
Adresa: Pta Victoriei nr. 2, 300006 Timisoara, Romania
Cod fiscal (CUI): RO 4269282
Banca: Trezoreria Timisoara
IBAN: RO22TREZ621504601X000505
Cu specificarea urmatorului text: Taxa conferinta MeTrApp 2011 pentru.... (numele complet al autorului), numarul de referinta al lucrarii (indicata in scrisoarea de accept).
ARRIVAL
Arrival date :______
Departure date:______
Please specify special requirements (for instancespecial meals etc):______
______
DateSignature
ADDITIONAL INSTRUCTIONS
Please complete this form and return it with a copy of your payment, only by email to:
E-mail: