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REGISTRATION FORM

      First name:*        Last name:*

Sex:* F   M
Occupation:*
Workplace:*
Workplace address:
Country:*
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
Student Accompanying person
For lecturers:
I need the following technical equipment:
Slide projector
Over-head projector
Power Point facilities
Video player
Title of my lecture/poster:
Participation fees
Please, check the box that refers to you
The accomodation in Rimetea / Colţeşti and the dinner on May 22nd is not included in the price.
  Field trip Conference Total
Participant 150 € 250 € 400 €
Student* 150 € 200 € 350 €
Accompanies** 150 € 75 € 225 €
Total:
* the price includes the accomodation on the field trip, but does not include the opening reception and the gala dinner
**the price includes the opening reception and the gala dinner as well as the accomodation on the field trip but does not include the conference materials and any other conference facilities
Accomodation posibbilities during the conference:
Room Pensions Traditional houses
2 beds 17 € / person / night 15 € / person / night
3 beds 17 € / person / night 15 € / person / night
Number of nights spent at Rimetea/Colţeşti:
The reservation will be booked by the organisers. Please do not make your own reservations. The prices contain accomodation and breakfast.
I do not need accomodation
Total:
If you have any preferences regarding your room-mate, please let us know:
TOTAL PAYMENT DUE*:
(please sum the green fields)

Please, mention the date and the type of your arrival and departure for easeing the organization:


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 be paid to the Historic Building Conservationists Society's bank account at least by 4th May. The registration fee is 400 euros. (For exceptions, please consult the table.)
The organisers are not able to take into consideration demands received after the specified date.

Bank account details:
Account holder's name: Asociaţia Restauratorilor de Monumente Istorice din Transilvania ARMIT
Str. Breaza Nr. 14. 400253 Cluj-Napoca
Name of bank: Banca OTP, sucursala Cluj
Address of bank: RO-400558 Cluj-Napoca, str. Calea Floresti, no. 81
Bank account: RO23 OTPV 2010 0018 7446 EU01 (euro)
SWIFT code: OTPV ROBU

Cancellation policy for Registration:
Cancellation between 1st March and 1st April 2009 - 50% refund. No refund after 1st April.

Contact details:
Mailing address: RO-400110 Cluj-Napoca, P.O. 1 Po.Box 1176
Tel./fax: +40-264-435 489 / +40-264-436805
Mobil: +40-730-909630, +40-730-909636
E-mail:tusnad@transsylvanianostra.eu
           tusnad2009@yahoo.com
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