Corrosion and Material Protection Conference

Binding registration

For registration to the conference please fill up the following form

Participant type and registration fee
Participant type	Payment before 15th January 2010	Payment after 15th January 2010
EFC or AKI member	€ 420 (incl. VAT)	€ 440 (incl. VAT)
Student	€ 200 (incl. VAT)	€ 250 (incl. VAT)
Other participant type	€ 440 (incl. VAT)	€ 460 (incl. VAT)

Registration fee covers

Registration fee cancelation

Signing-off till February 20th 2010 : 80% of registration fee will be returned
Signing-off till March 10th 2010 : 50% of registration fee will be returned
If sign-off will be accomplished after March 31th the registration fee is not returned, but CD-ROM proceedings and book of abstracts will be send

Payment details

Recipient Account :

Account owner:

Name: SVÚOM s.r.o.

Address: U Mestanskeho pivovaru 934/4, Prague 7, 170 00

ID: 25 79 47 87

VAT ID: CZ25 79 47 87

Bank details:

Bank name: Komerční banka a.s., Praha

Bank address: Na Příkopě 33, 114 07, Prague 1, Czech Republic

Bank SWIFT code: KOMBCZPPXXX

Acount no.: IBAN: CZ91 0100 0000 3592 5544 0287

Variable symbol of the payment: will be send by the confirmation email of this registration

Bank charges must be added to the above amount.

Payment receipt will be delivered at the conference beginning.

All of these payment details will be send in the confirmation email.

Type of conference participation
I will participate on conference with a paper	*Accepted abstract number :**
I will participate on conference with a poster
I will participate on conference without paper or poster

Accompanying person
Accompanying person fee (1person): € 200 (incl. VAT)
Number of accompanying persons (max 4):
1st accompanying person	First Name :	Surname:
2nd accompanying person	First Name :	Surname:
3rd accompanying person	First Name :	Surname:
4th accompanying person	First Name :	Surname:

Accompanying person fee covers :

* : required field