Contact: icfaddw@ifj.edu.pl

On-line Registration Form

To register for the ICFA DDW'06 Workshop, please complete this form. It will be e-mailed automatically to the Organizers.

PERSONAL and CONTACT DETAILS

Title

^* First Name

^* Last Name

^* Institution (in English)

Postal Address

City

ZipCode

Country

NIP (for Polish participants only)

Institution name on
the badge (in Eng.)

Phone

Fax

^* E-mail

Comments

arrival date

departure date

You must enter a valid email address. An email will be sent to you to confirm the registration.

Fields marked with ^* are mandatory.


PAYMENT Please fill in the appropriate places:
Registration fee 700 PLN - late ( after Sept 16 )
Receptions for the accompanying person 100 PLN per person
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TOTAL PAYMENT:	PLN
The registration fee includes: admission to the workshop sessions, workshop materials, coffee breaks, workshop receptions.

METHOD OF THE PAYMENT Choose one of the following: bank transfer credit card payment on site ( exceptional situations only ) The information concerning the bank transfer, the credit card authorisation form and the on site payment are available on the main page, under the "Methods of Payment".


Registration