REGISTRATION
 
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To register for SEFS4, complete and submit your Registration Form and (if you wish to give a presentation) your abstract online and forward payment to the SEFS4 Secretariat by the following date:
1st March, 2005 if you wish to propose a paper for an oral or a poster presentation (remember to enclose its abstract), or if you wish to take advantage of the early registration fee;
1st May, 2005 if you wish to participate without contributing a paper or poster (and pay a higher registration fee). We regret that registrations or changes to registration details or abstracts cannot be accepted after the registration deadline of 1st May, 2005.

Bookings will be accepted only if accompanied by full payment.


PART 1:
PARTICIPANT'S PARTICULARS

Please mark and complete:
Mr. Ms. Dr. Prof.
First Name:
Last Name:
Designation:
Organisation:
Address:
Postal Code:
City:
Country:
Telephone:
Fax:
e-mail:


PART 2:
ACCOMPANYING PERSON'S PARTICULARS

Please mark and complete:
Mr. Ms. Dr. Prof.
First Name:
Last Name:


PART 3:
REGISTRATION FEES*

Please mark:
Payment: before
1st March
2005
after
1 March
2005:
Participant 250€
1100 PLN
300€
1300 PLN
Accompanying person 100€
400 PLN
110€
450 PLN
Student 150€
650 PLN
200€
900 PLN
*The registration fee for Participants, Accompanying Persons and Students includes: Welcome Reception, Symposium Opening and Closing Ceremonies, Symposium Dinner. The Participant's and Student's registration fee additionally includes: entry to all sessions, Symposium materials, Abstracts Book, and coffee breaks.


PART 4:
SOCIAL EVENTS

Please indicate the number of persons attending:
  Date Event No. of Persons
SE1 21.08 Welcome reception
SE2 26.08 Salt Mine
SE3 26.08 Symposium Dinner


PART 5:
DIETARY REQUIREMENTS

Please indicate any special dietary requirements:
Person Dietary requirements
Participant
Accompanying person


PART 6:
EXHIBITION*

Please mark to receive details:
(only if applicable)
I would like to reserve an exhibition booth
* cost not included in the registration fee


PART 7:
ORAL AND POSTER PRESENTATION

I would like to make an oral presentation at the SEFS4*
I would like to make a poster presentation at the SEFS4*

Please complete:
Provisional Topice for Oral and Poster Sessions**
Presentation theme
* decisions as to the speakers' list are made and approved by the SEFS4 Organisation Committee
** the topic rage for sessions is indicated on page 2 of the 2nd circulare as well as the 4th SEFS website: www.sefs4.pan.krakow.pl


PART 8:
TOTAL CONGRESS COST


Please complete:
Item Amount
Registration fee: Participant
Registration fee: Accompanying Person
Registration fee: Student
TOTAL [EUR or PLN] - please fill in   


PART 10:
TERMS AND CONDITIONS

Confirmation
Confirmation of your participation will be forwarded to you upon receipt of the completed Registration Form and payment confirmation by the Organiser. Please keep your confirmations for reference and bring it along for registration at the Symposium.

Cancellations:
We will accept only cancellations submitted to us in writing.

Cancellation from participation in the Symposium will be accepted under the following conditions:

before 1st June, 2005: a return of the registration fee reduced by 10% for costs
2nd June - 1st July, 2005: a return of the registration fee reduced by 50% for administrative costs costs
Registration fee will not be refunded if the cancellation from Symposium participation is made after 1st July, 2005.

Final Terms and Conditions:
The personal details included in this form will be placed in the Secretariat 4th Symposium for European Freshwater Biology database and will be exclusively used for purposes related to the Symposium.

The Organisers reserve their right to make changes in this form.

I hereby agree to have my personal details used for purposes related to the Symposium.
I hereby authorise the Instytut Ochrony Przyrody PAN to issue a invoice without the buyer's signature.
I have read the contents of this form and agree to its terms and conditions.