Please check the contents of this form carefully as you will not be able to make modifications after submission.
If it is necessary to change any information after submission, please contact the Conference Secretariat.
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Title, Given Name
Telephone+ (+420 123456789)
The registration fee covers accommodation in a double room (two nights), buffet meals (2x breakfast, 3x lunch, 2x dinner), refreshment during coffee breaks (4x),
the Book of Abstracts and Conference materials. All fees include VAT.
I prefer to be accommodated with
Please specify the surname and name of the person with whom you would like to share the double room accommodation.
Please use the template for the preparation of the abstract.
Abstract template (download)
I would like to present my contribution as:
short oral communication
I would like to apply for the Prof. Otakar Červinka Prize for the best short oral
communication / poster
I authorize Congress Business Travel Ltd. (Lidická 43/66, 150 00 Prague 5, Czech Republic, VAT number: CZ26424053)to charge my credit card for the payment of CZK
Type of cardVyberteAmerican ExpressVISAMasterCard/EuroCardDiners
Name of card holder*
Expiration date (mm/yy)
CVV/CVC (last 3 digits)**
Invoice address (AMEX)
*) Supposing the card holder name and the name of a participant are different, the Conference Secretariat might require card holder approval. Please fill in all the required entries. For further detail, please contact the Conference Secretariat. The Secretariat will send you a special form to be approved.
**) CVC2 (MasterCard/EuroCard) or CVV2 (American Express, Visa, Diners) code is printed on the back side of your credit card in the signature label (last 3 digits).
Please note that all bank charges should be fully covered by the payer.
The copy of the bank transfer should be sent by fax or mail to the Conference Secretariat.
A proforma invoice will be issued upon request. Please write your requirements in Section 7. Notes.
Different payer of the invoice
Invoice addressMailing Address
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Telephone+ (+420 123456789)
I agree with the use of my personal data by the company Congress Business Travel spol., s r.o., in accordance with the Czech Personal Information Protection Act 101/2000 Sb. The data will be used solely for the purposes of this conference; giving consent is a necessary condition of your registration.
Michal H, ITS IOCB © March 29, 2019