The Eleventh International Conference on English and American Studies „Ambiguity and the Search for Meaning: English and American Studies at the Beginning of the 21st Century” Jagiellonian University, Kraków, 23–25 April 2008
R E G I ST R AT I O N an d H O T E L R E S E R V AT I O N
Please complete the form, fax or mail it to: Jagiellonian University Events Office 24, Gołębia Street 31-007 Krakow Poland Fax/phone: +48 /12/ 663 38 58 E-mail: firstname.lastname@example.org
INFORMATION ABOUT THE PARTICIPANT
Family name First name Sex Title _________________________________________
_________________________________________ □ Male □ Mr. □ Ms. □ Female □ Dr. □ Prof.
Institution* _________________________________________ Correspondence address
Postal code ___________________________________ City Country: Phone* Fax* ___________________________________ ___________________________________ _________________________ _________________________
Name of accompanying person (if any)* Special requirements Mobility or other disability related needs Vegetarian food or other dietary needs Other
_________________________ _________________________ _________________________
* optional Attention! Registration can only be confirmed following receipt of payment.
Please fill in the correct fee: PLN 430 OR € 120 before February 20th, 2008 PLN 540 OR € 150 after February 20th, 2008
............................ PLN / EURO
Cancellation policy Cancellation before February 20th, 2008 – full refund (minus banking charges). Cancellation after February 20th, 2008 - no refund. Cancellation must be confirmed in writing (address below). All refunds will be processed after the Conference.
Note: Hotel rates are per room, per night – breakfast and tax are included. All the hotels are situated within walking distance of the Old Town and the conference venue. Please indicate first and second choice by using A and B.
Reservations will be handled on the “first-come, first-served” basis. Conference Organizers will try to respect your hotel choice, but reserves the right to book a room in another hotel if your first choice is no longer available. Additional information: all visitors to Krakow have to pay city tax 1.60 PLN/person/day (approx.: 0.40 EUR). It is paid separately at the hotel reception. The credit card number serves only as the booking guarantee. Credit card accounts will be charged with the deposit ONLY if the participant cancels the reservation after February 20th, 2008. All payment should be settled at the conference registration desk upon arrival. Hotel Rates per night (in PLN / €) Single Room Double Room (tick, please) (tick, please) Required deposit
Fortuna*** 300 PLN / approx. 5 Czapskich St. 86 € Bursa im. Pigonia** 7a Garbarska St. Dom Goscinny** 49 Floriańska St. B&B 12 Wiślna St.
410 PLN / approx. 117 €
410 PLN / approx. 117 € 370 PLN / approx. 106 € 370 PLN / approx. 106 € 250 PLN / approx. 71 €
250 PLN / approx. 71 € 250 PLN / approx. 71 € 155 PLN / approx. 44 €
370 PLN / approx. 106 € 250 PLN / approx. 106 € 250 PLN / approx. 71 €
DATE OF ARRIVAL ____________ DATE OF DEPARTURE ____________________ I ENCLOSE THE DEPOSIT IN PLN / EUR ____________________________ (*In case of a one night stay, the deposit is equal to the rate of one night. In case of a longer stay, the deposit will be deducted from the total hotel accommodation cost) PLEASE NOTE THAT THE RESERVATION WILL NOT BE PROCESSED IF SENT WITHOUT VALID CREDIT CARD AUTHORIZATION OR IF THE BANK TRANSFER OF THE DEPOSIT IS NOT RECEIVED BY February 20th, 2008. 100 % refund of deposit is possible (minus banking charges associated with the transfer) before February 20th, 2008. After this date no refunds will be possible.
Conference fee and hotel deposit (if applicable) should be paid to the Jagiellonian University Events Office – and should be sent to: Jagiellonian University BOI, ul. Gołębia 24, 31-007 Krakow, Poland Please indicate which of the following means of payment you wish to use: (In case of a bank transfers, please cover the banking charges). Bank transfer to: Jagiellonian University BOI, Bank: Pekao S.A. O/Krakow, Account number: IBAN: PL 75 1060 0076 0000 3300 0015 7610, SWIFT: BPHK PL PK (please give the reference „ASM/ fee + hotel deposit’, as well as the name of the participant. Do not forget to bring a copy of a document confirming your payment).
Credit card Please note that in case of the hotel deposit the credit card number serves only as the booking guarantee. Credit card accounts will be charged with the deposit ONLY if the participant cancels the reservation after February 20th, 2008.
The Eleventh International Conference on English and American Studies I authorise the Jagiellonian University Events Office to charge the amount of EUR ………….. to the following credit card: □ Eurocard/Mastercard other □ JCB Card □ Visa □ American Express □
Card number __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Expiry date: _______________ / _______________ (month/year) Name of cardholder ___________________________________________________________ Billing address _______________________________________________________________ (Hand-written) signature _________________________ Date __________________
□ PRO-FORMA INVOICE / □ INVOICE REQUEST
(please choose the appropriate)
Invoice for accommodation (including deposit) can only be issued by the hotel. If you need an invoice for the registration fee, please fill in the form below. As a rule, invoices will be available for pick up during the Congress at the registration desk. Please note that the invoice can be drawn only to the remitter.
The Eleventh International Conference on English and American Studies
Please draw an invoice with VAT included.
Institution: ________________________________________________________________________ Address: _________________________________________________________________________ VAT number:______________________________________________________________________ Amount: __________________________________________________________________________ Name(s) of the participant(s): _________________________________________________________ The invoice should be dispatched to: ___________________________________________________