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Registration and Accommodation Form - Registration and

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Registration and Accommodation Form - Registration and Powered By Docstoc
					                  Registration and Accommodation Form
             th
            5 International Plant Protection Symposium at University of Debrecen
                                     21-22 October, 2009

                             GENERAL INFORMATION
Surname:                                        First Name(s):
Title:
Organization:
Postal address:
Zip Code:
Country:
Phone:                                          Fax:
E-mail:
Receipt address:


- I will attend the meeting in Debrecen        yes     no
- I will present a paper                       yes     no
- I will present a poster                      yes     no


Authors' names should be given as follows here:
Name of the 1st author:
Organization:
Name of the 2nd author:
Organization:
Name of other author(s):


Organization(s):


Title:



- I suggest the following themes for the meeting:
                  ACCOMMODATION and REGISTRATION
   Date of arrival:
   Date of departure:                                   night(s)

Accommodation in Guesthouse of Debrecen Academic Committee of the
Hungarian Academy of Sciences
4032 Debrecen, Thomas Mann u. 49.            Phone: (36 52) 508384
                                                          No. of person(s)       Sum (EURO)
Double room for 1 person (30 EURO/night/room) yes no
Double room for 2 people (40 EURO/night/room) yes no
      Tax and breakfast are included.

Accommodation in Hotel Kincses
4026 Debrecen, Pesti u. 26.                    Phone: +36 70/7733970
                                                           No. of person(s)      Sum (EURO)
Single room with bath (25 EURO/night/room)     yes    no
Double room with bath (30 EURO/night/room)     yes    no
Extra bed (8 EURO/night)                       yes    no
Breakfast (4 EURO)                             yes    no
       Tax is included.

Accommodation in Hotel "Fényház"
4032 Debrecen, Böszörményi u. 138.             Phone: +36 52/508335; +36 30/3052139
                                                             No. of person(s) Sum (EURO)
Single room with bath (45 EURO/night/room)     yes     no
Double room with bath (50 EURO/night/room)     yes     no
2 single bedroom with shared bath,
for 2 people (70 EURO/night/room)             yes     no
        Tax and breakfast are included.

                                                              No. of person(s)   Sum (EURO)
I intend to attend the Official Banquet on 21 October
(25 EURO)                                           yes no
I intend to take part in the excursion
on 22 October (40 EURO)                             yes no
Registration Fee (80 EURO). Lunch on 21 October is
included (registered after 1 August: 90 EURO)

                                                             People               EURO
Sum total:

Date:
Signature:

				
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