CPEE'04 Registration form

September 1st-4th, 2004, Zakopane, Poland

Paper id:
First name:
Last name (family):
Gender:
E-mail:
Organization: (will be printed on the badge)
Country:
   
Arrival date: September , 2004
Departure date: September , 2004
Room mate name: (optional)
   
Accompanying person: No Yes
Name:
 

The cost of participation is 800 Polish zloty, what includes registration fee, accommodation (hotel web page) with full board, workshop proceedings (printed and CD) and social programme. The cost for accompanying person is 400 Polish zloty, what includes registration fee, accommodation with full board and social programme.

The payment should be made to the account: PEKAO S.A. IV O/W-wa 81124010531111000005005664, IETiSIP PW Nr 1042

(For Polish participants: NIP PW: 521-000-58-34)

Please send us a copy of payment confirmation by surface mail, fax or e-mail.

 

UWAGA, uczestnicy z Polski: prosimy o pobranie, wypełnienie i odesłanie pocztą karty uczestnictwa.