Registration form 

                                                                DEADLINE: May 20th, 2004

 

Mrs/Miss/Mr ________________________________________________________________________________________

Name Family Name

 

University degree (subject) MSc PhD Postgraduate student   

                             

  __________________________________________________________________________________________________

Institution

 

 __________________________________________________________________________________________________

Mailing address of the institution Postal code - City Country

 

  __________________________________________________________________________________________________

Telephone Fax E-mail

 

I wish to attend the training session No. ________

Payment order

 

Account name: Kongres d.o.o., cesta Dolomitskega odreda 44, 1000 Ljubljana
Foreign participants 400 EURO Domestic participants 95.000 SIT

Account No.: 02053-0012745211 Account No.: 02053-0012745211

IBAN: SI56020530012745211 Notification: 00 117-04

Swift Code: LJ BASI2X

Bank Name: NOVA LB d.d. Bank Name: NOVA LB d.d.

Notification: ZTM 2004

I am authorising Kongres d.o.o. to charge my credit card for the amount covering my

 

registration fee: Visa     Eurocard/Mastercard    

 

Credit Card No. ________________________ Controll No._____________________

 

Expiry date____________Credit Card Holder _____________________________________

(as written on the card)

 

Hotel Reservation

 

For the following nights :                                                                    
                                                           M-HOTEL single room 70 EUR
 Saturday June 5th 2004                M-HOTEL double room 50 eur
 Sunday June 6th 2004                     (transportation by bus organised)
 Monday June 7th 2004
 Tuesday June 8th 2004                PARK HOTEL single room 49 eur
Wednesday June 9th 2004            PARK HOTEL double room 32 eur
                                                             
(within walking distance to the lectures)

 

 

___________________ _________________________________

Date Signature

 

 

 

 

TO BE SENT BY MAIL TO THE FOLLOWING ADDRESS:

KONGRES d.o.o.,   Dolomitskega odreda 44 
1000 LJUBLJANA, SLOVENIA