Registration form
(* reqiured)
1. Personal data
Person type
*
:
Participant with paper
Participant without paper
Member of UBC
Accompanying person
Title
*
:
Name
*
:
Surname
*
:
Paper number:
Institution
*
:
City
*
:
Street
*
:
Country
*
:
Postal code
*
:
Phone:
e-mail
*
:
2. Invoice data
Institution:
City:
Street:
Country:
Postal code:
NIP:
3. Aditional information
Post conference trip
(250 EUR paid extra)
*
:
No
Yes
Vegetarian food
*
:
No
Yes
Classic banquet in Central Marine Museum (19.09.2006)
*
:
Yes
No
Conference fee
*
:
Program Committee Member (360 EUR/1400 PLN)
EUROCOAST/EUCC member; late booking (460 EUR/1800 PLN)
Non-member; late booking (480 EUR/1900 PLN)
Student; late booking (150 EUR/600 PLN)
Accompanying person; late booking (150 EUR/600 PLN)
Program Committee Member+post conference trip (610 EUR/2400 PLN)
EUROCOAST/EUCC member+post conference trip;late booking(710EUR/2800PLN)
Non-member +post conference trip; late booking (730 EUR/2900 PLN)
Student +post conference trip; late booking (400 EUR/1600 PLN)
Accompanying person+post conference trip;late booking(400 EUR/1600 PLN)
UBC - 1 day (120 EUR)
UBC - 2 days (240 EUR)
UBC - 3 days (360 EUR)
1-day workshop fee (200 EUR)
UBC Member + post conference trip (610 EUR)
(In case of a student fee, a copy of the valid Student ID Card must be sent by fax to +48 58 3486024)
4. Information for a
post conference trip
only
Room type
*
:
1-person
2-person
Do you need a transport to the Gdansk-Rebiechowo Airport
after the trip (7-8 a.m., Saturday 23.09)
*
No
Yes
Do you need a transport to Berlin from Miedzyzdroje
(a transit city of a trip) on Thursday evening (21.09) or Friday morning (22.09)?
*
No
Yes
If you hve any questions
regarding the post-conference trip only
, please put them here:
