Conference Payment Form
IW A 2008
Budapest
Hungary
4- 5 September
The 11th International Specialised Conference on Watershed and River Basin Management
Please send it back via e-mail: trivent@trivent.hu or fax: +36-1-371-1333 Title: Mr. First name: Ms. Dr. Prof. Surname: ____________________________________
E-mail:_____________________________ Telephone: _______________________ Fax:_____________________ Login Name: _______________________________ IWA membership No.: ________________________________ Accompanying person’s name: ___________________________________________________________________
INVOICING ADDRESS: Organisation: Postal Address:
_________________________________________________ ___________________________________________________________________________
Post/Zip code, City, Country: _____________________________________________________________________ Please tick as appropriate: Registration type IWA members before 10 July 2008 IWA members after 10 July 2008 and non members before 10 July Non members after 10 July 2008 IWA LIC members before 10 July 2008 IWA LIC members after 10 July 2008 and IWA LIC non members before 10 July IWA LIC non members after 10 July 2008 Students before 10 July 2008 Students after 10 July 2008 Accompanying person fee (Opening Reception, Conference Dinner) Budapest Sightseeing by Night (subject of 25 participants) Guided tour between 19:00-22:00 on 5th September Departure from Hotel Griff at 19:00 Transfer to Vienna by Hydrofoil (subject of 40 participants) Traveling time: 6,5 hour Departure from pier: 09:00 6th September by Bus (subject of 40 participants) Traveling time: 3 hours Departure from Hotel Griff: 09:00 6th September TOTAL FEE IWA LIC: IWA Low Income Countries according to www.iwahq.org IWA2008 registration entitles the attendee to the following benefits: Opening Reception and Conference Dinner Bus transfer from the conference hotel to Hungarian Academy of Sciences IWA2008 Conference Material Session Attendance Coffee breaks The registration fee covers conference materials, a Proceedings on CD and entrance for one person to the social events. The publication of any paper in the proceedings implies one registered author with an early paid registration fee. Fees 300 € 340 € 380 € 180 € 220 € 250 € 120 € 160 € 60 € 30 €
89 € 40 €
€ ............................
YOU CAN PAY THE REGISTRATION FEE EITHER BY BANK TRANSFER OR WITH CREDIT CARD
1. FOR BANK TRANSFER Owner: Owner address: Bank: Account No.: IBAN number: Swift Code: ID message (important!): Please note that: International bank transfers are subject of taxes and fees (naturally not included in the Conference fee). Payments that are not in accordance with the total fixed registration value have to be regularized until congress date. Registrations not fully paid are considered not valid. S. J. T. TRIVENT Bt. Etele út 59-61, H-1119 Budapest, Hungary OTP Bank Rt., H-1126 Budapest, Böszörményi út 9-11, Hungary 11712004-20144016 HU 55 11712004-20144016-00000000 OTPVHUHB IWA 2008/Participant’s Name
2. FOR PAYMENT WITH A CREDIT CARD PLEASE FILL IN THE FORM BELOW First name: _______________________________________ Last name: _________________________________ Email:_____________________________Phone__________________________Fax:______________________ Credit card: VISA Eurocard/MasterCard
Please charge EURO ........…........................................ to my credit card Card number: ..........................................……….................……………..Expiration date (month, year): .................................... Last 3-digits card check code (given in the field containing the owner's signature following the card code): ………………. Name of the card holder: ……………………………………………………………………………………………………………………….. Date: ......................................................... Signature: .................................................