20th International Diatom Symposium 2008
7-13 September 2008, Dubrovnik, Croatia
REGISTRATION FORM
Please complete and return to: ATLAS Travel Agency; P.O. Box 27; 10000 Zagreb, Croatia
Phone: ++385-1-4698-007
E-mail: ranko.filipovic@atlas.hr ◘
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Fax: ++385-1-4698-053
Web: www.imp-du.com/ids2008 & www.atlas.hr
The deadline is 31 July 2008. A separate registration form must be used for each participant!
Section A. Personal Information
Title Family name Institution Address City, State, Zip Code Phone E-mail Accompanying Person Mr. Mrs. Ms. Family name: Mr. Mrs. Ms. Family name: Prof. Dr. Mr. Mrs. Ms. Other Name
Country Fax Name: Name :
Section B. Registration Fee
Before May 31 2008 Category After May 31 2008 300 EUR 370 EUR Full delegate, member of ISDR 350 EUR 420 EUR Full delegate, non-member of ISDR 200 EUR 270 EUR Student*, member of ISDR 250 EUR 320 EUR Student*, non member of ISDR 250 EUR 320 EUR Accompanying Person Delegates and students Fee includes: access to the scientific meetings and commercial exhibition area, abstract and programme volumes, 8 coffee breaks, 4 lunches, welcome cocktail reception, city tour, 3 dinners. Accompanying Person Fee includes: 4 lunches, welcome cocktail reception, city tour, 3 dinners. * Enclose a letter from the supervisor that certifies the student’s status.
Section C. Accommodation
Hotel Grand Hotel PARK**** (Symposium Venue) KOMPAS Hotel*** PERLA Hotel*** ADRIATIC Hotel** Room / Service Bed, breakfast and tax in single room Bed, breakfast and tax in double room Bed, breakfast and tax in single room Bed, breakfast and tax in double room Bed, breakfast and tax in single room Bed, breakfast and tax in double room Bed, breakfast and tax in single room Bed, breakfast and tax in double room Room rate per night EUR 125,00 per night EUR 166,00 per night EUR 118,50 per night EUR 137,00 per night EUR 102,00 per night EUR 134,00 per night EUR 82,00 per night EUR 94,00 per night Total nights required
FULL FULL FULL FULL
Check-in date:
Check-out date:
Above accommodation rates include breakfast & VAT. Total accommodation should be paid at the hotel prior to check-out. A credit card will be required only as a guarantee of your booking. If booking a double room, please provide other person's full name_____________________. For cheaper student accommodation see Accommodation menu in the Second Circular.
Section D. Optional services
Mid-Symposium Excursions (min 30 pax)
1. 2. 3. The Neretva River Delta Bay of Mali Ston and Arboretum in Trsteno Republic of Montenegro Number of people Price – based on minimum 30 people EUR 50,00 EUR 50,00 EUR 50,00 Number of people Total
Price – based on minimum number: Total 20-24 people: EUR 575,00 per person* 4. UNESCO Heritage & National Parks 25-30 people: EUR 510,00 per person* 20-24 people: EUR 575,00 per person* 5. Roman Heritage of Dalmatia 25-30 people: EUR 510,00 per person* * The rates shown apply for a person in double room. Single room supplement is EUR 100,00 per person for each tour.
Post-Symposium Tours
TOTAL to be paid (Registration fee + Other services)
Section F. Method of payment
Credit Card Visa
EUR
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MasterCard
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American Express
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Diners
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Card number ______________________________________________ Expiry date ___________________ Control number (last 3 digits over signature on back side) ________________________________________ Card holder's name ______________________________________________________________________ Billing address __________________________________________________________________________ Signature ______________________________________________________________________________ If paying by credit card, please print this out, fill it, sign and fax to ++385-1-4698-053. Your data is safe.
Bank Transfer to: In this case, please fax us a copy of the Bank Transfer together with the Registration Form. Bank: REIFFAISEN BANK AUSTRIA, d.d. Address: Petrinjska 59, 10000 Zagreb In favour of: ATLAS Travel Agency Account number: 2484008-1500160216 IBAN: HR72 2484 0081 5001 6021 6 Swift Code: RZBHHR2X Reference number: 08-01341-6
Amount should be net of bank commission!
Booking and Payment Conditions
The payment must accompany this Application Form. Without the payment the registration can not be confirmed. After 31 May, ATLAS can not guarantee hotel availability. ATLAS will send you the confirmation by email, fax or letter. Changes in reservations will be subject to an administration charge of EUR 10,00. Registration cancellations made before 31 May 2008 will merit 50% refund. Registration cancellations made after 31 May 2008 will not merit a refund. Emergency cancellations (e.g. illness, death of a relative or birth of a baby …) can be refund 100% if duly proved. Notice of any cancellation/change must be sent in writing. All hotels expenses must be paid directly. If a confirmed hotel reservation is not canceled at least 48 hours prior to arrival and you do not show up, your card will be charged as per your booking.
Date: _________________________ Signature: _______________________________________________________ Please complete and return no later than 31 July 2008 to ATLAS Travel Agency – by mail or fax –
E-mail: ranko.filipovic@atlas.hr
Fax: ++385-1-4698-053