For Participants Who Need a Visa

REGISTRATION FORM

FOR PARTICIPANTS WHO NEED A VISA

Registration deadline for participants who need a visa: 1st June 2007

to be E-mailed to: ,

or mailed to: EASY PRAGUE Travel Agency, Branicka 115/230, Prague 4, 147 00, Czech Republic,

or faxed to: +420 244 463 443

PERSONAL DETAILS
Family Name: / First Name:
gender: / PASSPORT NUMBER:
ORGANISATION:
DEPARTMENT: / TITLE / POSITION:
Home Address (street and street no.):
CITY: / POSTCODE:
Country: / Phone:
Fax: / E-mail:
date of birth: / nationality:
address FOR DELIVERING THE INVITATION:
PLEASE USE CAPITAL LETTERS, AND ENSURE THAT THE INFORMATION IS EXACTLY AS YOU WOULD LIKE IT TO BE LISTED ON YOUR NAME BADGE, HOTEL VOUCHER, ETC.
DURATION OF YOUR STAY IN THE CZECH REPUBLIC / HEALTH INSURANCE
Date of arrival: / Date of departure: / No. of DAYS:
HEALTH INSURANCE FEE: EUR 3 A DAY / TOTAL COST FOR INSURANCE FOR THE WHOLE STAY: EUR
 YOU WILL HAVE YOUR VISA TO THE CZECH REPUBLIC AND INSURANCE ISSUED FOR THE DAYS INDICATED. THEY MUST CORRESPOND WITH YOUR ACCOMMODATION. 
ACCOMMODATION Please write “YES” in the option which apply in the fields of room type
TOP HOTEL - STANDARD ROOM / SINGLE ROOM: EUR 85 / DOUBLE ROOM: EUR 95 / TRIPLE ROOM: EUR 132
TOP HOTEL GARNI / SINGLE ROOM: EUR 36 / DOUBLE ROOM EUR 46 / TRIPLE ROOM EUR 60
TOP HOTEL - EXECUTIVE ROOM / SINGLE ROOM: EUR 110 / DOUBLE ROOM EUR 124 / TRIPLE ROOM EUR 171
check in: / check out: / No. of nights:
TOTAL COST OF ACCOMMODATION: EUR
ROOM MATE/S:
VOLHA HALL / SINGLE ROOM: EUR 22 / DOUBLE ROOM: EUR 34 / TRIPLE ROOM: EUR 45
check in: / check out: / No. of nights:
TOTAL COST OF ACCOMMODATION: EUR
ROOM MATE/S:
 IF YOU WANT TO BOOK OTHER ACCOMMODATION INSTEAD OF THE TWO OFFICIAL PLACES BOOKED IN ADVANCE PLEASE CHECK EASY PRAGUE´S OFFER: AND before you fill your choiCe in the registration form please contact easy prague: to check availAbility (better choose more possibilities). When vacancy IS confirmed please FILL IN YOUR CHOIcE BELOW. 
OTHER CHOICE OF ACCOMMODATION:
SINGLE ROOM: / DOUBLE ROOM: / TRIPLE ROOM: / OTHER:
check in: / check out: / No. of nights:
price per night: EUR / TOTAL COST OF ACCOMMODATION: EUR
ROOM MATE/S:
NOTES, SPECIAL REQUESTS:

PAYMENT FORM

FOR PARTICIPANTS WHO NEED A VISA

PERSONAL DETAILS
Family Name: / First Name:

 PLEASE COPY THE PRICE OF THE CHOSEN SERVICE TO THE LAST COLUMN!

REGISTRATION FEES
PRE CONFERENCE FEE 28TH aUGUST / EUR 125 / EUR
CONFERENCE FEE 30th August – 1ST SEPTEMBER - PLEASE CHOOSE ONLY ONE OPTION:
early bird CONFERENCE FEE UP TO 1ST OF jUNE / EUR 420 / EUR
FULL CONFERENCE FEE AFTER 1ST OF jUNE / EUR 460 / EUR
Special early bird conference feefor participants from Central and Eastern Europe and from developing countriesUP TO 1ST OF jUNE (see the website for the list of eligible countries) / EUR 200 / EUR
Special conference fee AFTER 1ST OF jUNE / EUR 240 / EUR
SOCIAL PROGRAMME FEES
OPENING RECEPTION 29TH aUGUSTincluded in the conference fee -Pleasedelete the option which doesn't apply: YES/NO
OPENING RECEPTION 29TH aUGUST accompanying person / EUR 30 / EUR
conference dinner 30th August / EUR 60 / EUR
optional evening programME 31st august - PLEASE SELECT ONLY ONE OPTION:
dinner on the boat / EUR 37 / EUR
czech feast in a traditional RESTAURANT “U FLEKU” / EUR 37 / EUR
CLASSICAL CONCERT w.a. mozart requiem / EUR 33 / EUR
LATERNA MAGIKA theatre / EUR 25 / EUR
SIGHTSEEING PROGRAMMEFEES
SIGHTSEEING TOUR OF PRAGUE 1ST SEPTEMBER - PLEASE SELECT ONLY ONE OPTION:
GRAND CITY TOUR / EUR 33 / EUR
PRAGUE IN BRIEF / EUR 9 / EUR
VLTAVA RIVER CRUISE + OLD TOWN + JEWISH TOWN / EUR 44 / EUR
post conference SIGHTSEEING TOUR outside OF PRAGUE 2nd SEPTEMBER - PLEASE SELECT ONLY ONE OPTION:
CESKY KRUMLOV – UNESCO TOWN / EUR 74 / EUR
KARLOVY VARY – SPA TOWN / EUR 63 / EUR
KUTNA HORA – UNESCO TOWN / EUR 37 / EUR
KARLSTEJN CASTLE / EUR 35 / EUR
KONOPISTE CASTLE / EUR 35 / EUR
ACCOMMODATION TOTAL FEES - PLEASE INCLUDE TOTAL ACCOMMODATION COSTS FROM YOUR REGISTRATION FORM
TOP HOTEL TOTAL: / EUR
VOLHA HALL TOTAL: / EUR
ACCOMMODATION OF YOUR CHOICE TOTAL: / EUR
VISA PROCEDURE FEES
HEALTH INSURANCE IN TOTAL FOR THE WHOLE STAY / EUR
INVITATION STAMP / EUR 8 / EUR 8
POSTAGE (REGULAR POST) / EUR 8 / EUR 8
TOTAL TO BE PAID BY BANK TRANSFER / EUR
When we receive this registration form completed we will send you a Confirmation of the Registration with your ID number (the identifying code). Then please send the total amount in EUR to our account. See our bank details below.
IMPORTANT NOTE: Your conference payment must includeall bank fees (beneficiary´s and orderer´s). Please, pay it extra -by choosing: "All bank fees paid by orderer" on the bank payment form. For easieridentification of your payment fill your full name + ID (the identifying code mentioned above) in your payment order in specified field as: "Purpose of the Payment", "Payment Details" or "Information for Beneficiary". Otherwise your payment might not be recognised and not accepted. When we receive your payment we will send you a Payment Confirmation and Vouchers for accommodation, dinners, sightseeeing etc. by e-mail and also an Invitation confirmed by the foreign police and an Invitation letter by post. You will take these documents to the Czech embassy in your country to ask for a visa. BANK DETAILS: Beneficiary: Veronika Fiserova, Address: Branicka 115 / 230, 147 00, Praha 4, Czech Republic, Beneficiary´s bank:CSOB – Ceskoslovenska obchodni banka, a.s., Address: Vinohradska 167 / 3217, 100 00, Praha 10, Czech Republic, Account Number: 211740391/0300, SWIFT CODE: CEKOCZPP, IBAN: CZ50 0300 0000 0002 1174 0391