Registration - step 1

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.

povinné pole/required field = required field

1. Personal Data

povinné pole/required field

povinné pole/required field

povinné pole/required field

povinné pole/required field

povinné pole/required field

+ povinné pole/required field (+420 123456789)

+  (recommended)

povinné pole/required field

2. Registration fees

povinné pole/required field Early
paid before 20 October 2019
Regular
paid after 20 October 2019
Payment
Registration
Student5 900  CZK6 400  CZK CZK
Academic7 800  CZK8 300  CZK CZK
Total CZK

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.

3. Accommodation

    

 
Please specify the surname and name of the person with whom you would like to share the double room accommodation.

4. Abstract

Please use the template for the preparation of the abstract.

Abstract template (download)


short oral communication

poster


I would like to apply for the Prof. Otakar Červinka Prize for the best short oral communication / poster


5. Payment

  • Credit Card povinné pole/required field


    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


    *) 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).

  • Bank Transfer povinné pole/required field

    Bank nameČeská spořitelna
    Bank addressVáclavské náměstí 16, 110 00 Praha 1
    Account number1942073339
    Bank code0800
    Account nameCongress Business Travel
    IBANCZ63 0800 0000 0019 4207 3339
    SWIFT / BICGIBA CZ PX
    Payment details 313 + participant´s full name (for easier identification)

    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.

6. Payer

A proforma invoice will be issued upon request. Please write your requirements in Section 7. Notes.

Different payer of the invoice


povinné pole/required field


Invoice address


povinné pole/required field

povinné pole/required field

povinné pole/required field

povinné pole/required field


+ (+420 123456789)

7. Notes

8. Agreement with the use of my personal data

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