Registration form 

                                                                DEADLINE: May 20^th, 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

                     ˇ                                                                         ˇ                                                   

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 5^th 2004             □   M-HOTEL  double room 50 eur
□  Sunday  June 6^th 2004                     (transportation  by bus organised)
□  Monday June 7^th 2004
□  Tuesday June 8^th 2004               □  PARK HOTEL  single room 49 eur
□ Wednesday June 9^th 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