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         Conference Series on
         Theoretical and Practical
         Issues on Built Heritage
         Conservation - Tusnad
         

   Transsylvania Nostra
   Foundation
   
   Hitoric Building
   Conservationists Society
   

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     Registration
REGISTRATION FORM
        First Name*:  
        Last Name*:  
   Occupation*:  
   Workplace*:  
   Workplace address*:
   City*:  
    Zip code*:  
   Street*:  
   No*:  
   Home address :
   City:        Zip code: 
   Street:      No:  
   Telephone / fax at work*:  
   E-mail at work*:  
   Telephone / fax at home:       
   Private e-mail:     
   I wish to participate at the conference as*:
   Invited lecturer
Lecturer
   Participant
With posters
   Title of my lecture/poster*:  
   For lecturers: I need the following technical equipment:
   slide projector pieces
   over-head projector pcs.
   Power Point facilities pcs.
   video player pcs.
   PARTICIPATION FEE (to lectures and conference materials, reception)
   205 euro - if transferred by April 5, 2012
   225 euro - if transferred after April 5, 2012
Payment
   Participation fee for the STUDY FIELD TRIP on September 21 (Friday)
   70 euro - if transferred by April 5, 2012
   75 euro - if transferred after April 5, 2012
Payment
TOTAL PAYMENT DUE  
   SPECIAL REQUIREMENTS – please indicate your options
   Are you a vegetarian?
   YES          NO
 
   Others (please specify the foods you can not eat if any):
   
   TERMS OF PAYMENT:
   Please transfer the total amount to the Historic Building Conservationists Society's bank account by August 30, 2012 the latest. The organisers will not take into consideration the demands received after the specified date.
   Bank account details:
   Account holder's name:         Asociaţia Restauratorilor de Monumente Istorice din Transilvania -
        ARMIT
   Name of bank:         Banca OTP, sucursala Cluj
   Address of bank:         RO-400558 Cluj-Napoca, str. Calea Floresti 81
   Bank account:         RO23 OTPV 2010 0018 7446 EU01 (euro)
   SWIFT code:         OTPV ROBU
   Cancellation policy for Registration:
   In the case of cancellation between August 1, 2012 and September 1, 2012 we will refund 50% of the transferred amount.
   No refund is possible after September 1, 2012.
   Contact details:
   Mailing address:                   RO-400110 Cluj-Napoca, P.O. 1 Po.Box 1176
   Tel./fax:                   +40-264-435 489
                  +40-264-436 805
   E-mail:                   hs@transsylvanianostra.eu
   
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