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PAYMENT POST CONFERENCE TOUR Czech Technical University in Prague Please sum the amounts due for your reservations: The Organising Committee of the , Registration fee ___________ EUR is happy to offer you Czech Chemical Society Accompanying person(s) registration fee ___________ EUR a post-conference week-end tour to Prague, the capital of I. M. Marci Spectroscopic Society Accommodation (total per stay) ___________ EUR Transfer to/from Mariánské Lázně ___________ EUR Czech Republic, and one of the world's most popular tourist Czech Radioecological Society destinations of the recent years. Post Conference Tour to Prague ___________ EUR Prague is a city of thousand years history, abounding in beauty and TOTAL AMOUNT DUE ___________ EUR truly unique gems of art. Like Rome, Prague was originally built on Please tick your preferred payment method: seven hills, too. Lot of its charm was acquired from the stream waters of Vltava (Moldau) river meandering through the centre of the G By credit card (minimum one night deposit must be paid): city. I hereby authorise you to charge my credit card with the amount The atmosphere and beauty of Prague is not given merely through indicated below. the unique conglomeration of architecture from all the past periods but also through the pulsating life which brings forwards the heritage Amount: ______________________________________ EUR of past ages. G American Express G Master Card* G Visa Card** Card No.: __________________________________________ Tour Programme Expiry Date: ________________________________________ The preliminary programme of the Tour is as follows: *Card Validation Code/ **Card Validation Value ____________ (the last 3 small numbers near your signature on the reverse side of the credit card) Friday, 19 April 2002: 17:00-17:30 Arrival to the hotel in Prague 19:00-22:00 Boat trip with dinner Name of the Cardholder: ____________________________ Saturday, 20 April 2002: 09:45-14:00 Sightseeing tour of Prague Address of the Cardholder: ____________________________ (English-speaking guide, lunch) ____________________________ Evening* Concert or ballet performance Date: _______________ Cardholder´s Signature: ____________________________ Sunday, 21 April 2002: No programme - leisure time G Direct Bank Transfer (minimum 100 EUR must be sent) to: * Saturday evening concert or ballet performance is optional, its price is not included in the Tour price. Komerční banka, Dejvická 52, 160 59 Praha 6, Czech Republic The Saturday guided sightseeing tour will include all the major sights Account Name: ČVUT v Praze - SÚZ of Prague – Old Town Square with Astronomical Clock, Charles Account Number: 27-4082120257/0100 Bridge, Lesser Town, Prague Castle (visit to St. Vitus's Cathedral). Details of payment: "Variable symbol: 7057" Surname of the participant(s) To be able to easily move around the city, all participants will be N.B. All direct bank transfer charges must be covered by the provided with a three-days public transportation ticket, city and 14 - 19 April 2002 participant(s). Please, forward a copy of your bank public transportation maps, and other information materials. transfer order to the Conference Secretariat. Mariánské Lázně Czech Republic G On-site payment Accommodation & Prices N.B. On-site payment is acceptable for the registration fees, only. Minimum one night hotel deposit must be paid in advance. All the participants will be accommodated in a *** hotel. The price of the accommodation, as well as of breakfast, will be included in the We regret that no personal or company cheques can be accepted. Tour price. Please, indicate your preference for the location of the hotel in the attached Registration Form. CERTIFICATE OF STUDENTSHIP Central location hotel: EUR 160/130 per person in single/double As a Department Head, I the undersigned, room, respectively, extra night EUR 80/50 Name (in block letters): __________________________________ Other location hotel: EUR 120/100 per person in single/double REGISTRATION FORM certify that the registrant is still a full-time student room, respectively, extra night EUR 40/30 Signature: _____________________________________________ N. B. The Tour is subject to minimum of 15 participants. HOTEL BOOKING FORM REGISTRATION ACCOMMODATION Prices per room and night, incl. breakfast, city charge and VAT: Final Registration Form Name ______________________________________________________________________________________________________________ Organisation ________________________________________________________________________________________________________ Mailing Address ______________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ Hotel name _____________________________________________________________ Single/Double room _________________________ Signature ________________________________________________________________ Date ____________________________________ Telephone ___________________________________ Fax ___________________________________ E-mail ______________________ Arrival ______________________ Departure ______________________ No. of nights ____________ No. of persons _______________ , Ms. K. Rosíková, Department of Nuclear Chemistry, Faculty of Nuclear Sciences The attached registration and hotel booking form is a self- The following hotels are available for the Conference participants: Hotel Single room Double room Title (Dr., Mr., Mrs., etc.) Number of persons: Number of persons: billing order form that should be returned to the Conference Villa Butterfly **** 65 EUR 90 EUR VILLA BUTTERFLY and Physical Engineering, Czech Technical University in Prague, Břehová 7, 115 19 Prague 1, Czech Republic, Fax: (+420 2) 232 0861. Secretariat with your payment of the fees. Address: Hlavní třída 655, Mariánské Lázně. Category: **** Hvězda & Skalník **** 55 EUR 90 EUR Conference registration fee will cover all the conference Walking distance to Casino: 10 min. Flora *** 50 EUR 70 EUR Country organisational costs, including a Booklet of Abstracts, Conference Proceedings, coffee-break refreshments and several social activities Garage, rooms with toilet, tub, satellite TV, telephone, mini-bar. Kriváň *** 40 EUR 70 EUR (e. g. welcoming reception, conference dinner, excursion, concert). Fitness centre, sauna, lounges for discussions and social meetings Svoboda *** 33 EUR 53 EUR In addition to the social activities, the accompanying persons fee will available. Two restaurants and lobby bar. * 16 EUR 24 EUR include a sightseeing tour in Mariánské Lázně and two trips to the Universita Karlova ** 33 EUR 40 EUR country. HVĚZDA & SKALNÍK other location hotel Before the registration form can be processed, the method of Zlatý zámek ** 20 EUR 35 EUR Address: Goethovo náměstí 7, Mariánské Lázně, Category: **** payment for the total amount reserved must be indicated thereon Walking distance to Casino: 5 min. and the payment received in the due time. Confirmation showing the Parking, rooms with toilet, bathroom with shower or tub, satellite TV, NOTA BENE Postal Code or ZIP confirmed reservations will constitute an acceptance of the telephone, mini-bar, in-room safe. Physicians consultation offices, All rooms will be reserved on the first come first served basis. After registration. therapy centre, hair salon, cosmetic salon, pedicure centre. Three 31 January 2002, the Conference Secretariat is allowed to change Middle Initial Department Yes Please, make sure that all the data you give in the Registration Form dining rooms, café with music and dancing, lobby bar. your demand depending on the available rooms left. Location of are accurate and follow the format required (order of names, hotels in Mariánské Lázně with respect to Casino, as the Conference G G affiliation, mailing address). These data will appear on your name tag FLORA centre, can be seen on the plan overleaf. Payment of minimum one and in all the official conference publications. Address: Nehrova 128, Mariánské Lázně. Category:*** night deposit is required at the time of booking. Immediately after central location hotel Walking distance to Casino: 10 min. receiving your Registration Form and the payment, you will be sent REGISTRATION FEES Parking (five cars only or Central City Garages), rooms with toilets, a voucher for the services on the basis of which you will be shower, satellite TV, telephone. Two restaurants, coffee bar. accommodated. Early Registration Late Registration On-site (before 31.1.2002) (before 15.3.2002) Registration State or Province (if applicable) CANCELLATIONS First (Given) Name KRIVÁŇ Participant 500 EUR 550 EUR 600 EUR Address: Masarykova 17, Mariánské Lázně. Category: *** Participants who might wish to cancel their reservations must inform Student 300 EUR 330 EUR 360 EUR No Walking distance to Casino: 5 min. Parking, rooms with toilets, the Organising Committee in writing or by fax. Accompanying 160 EUR 160 EUR 160 EUR shower, satellite TV, telephone, mini bar. Restaurant, small Cancellations made after 1 March 2002 are subject to cancellation fee G G person relaxation centre – whirlpool, water massage boxes, massages, of 25% of the registration fees plus 10 EUR of each the fitness centre. 14 - 19 April 2002, Mariánské Lázně, Czech Republic accommodation and/or Post Conference Tour (if applicable). I wish to take the Conference Bus to and from Mariánské Lázně: TRAVEL No For cancellations made after 1 April 2002, no refund of the registration The Organising Committee will provide a Conference Bus for those SVOBODA fees or of the price of the Post Conference Tour (if applicable) will be G wishing to use it for transportation from Prague to Mariánské Lázně Address: Chopinova 393, Mariánské Lázně, Category: *** and * done. The payment for accommodation will be refunded except for the and back. The bus will depart from Prague centre (via the airport) on Walking distance to Casino: 10 min. one night deposit. Company, University, etc. Sunday, 14 April afternoon and it will leave Mariánské Lázně on The Svoboda Spa Hotel consists of a complex of a main building and I wish to book the Post-Conference trip to Prague: Substitution of delegates within the same company, after a reservation Friday, 19 April afternoon. The price of one return ticket is EUR 20. two adjacent accessory buildings, Margareta and Palladio. fee has been paid, is acceptable at any time and no extra fee is Last (Family) Name Please, indicate your intention to use the bus in the registration form Parking without attendance or Central City Garages, payable. and add the respective amount to your fees. category *** – rooms with toilet, tub or shower, satellite TV, telephone, mini-refrigerator, CONFERENCE SECRETARIAT category * – toilets and showers on the floor. LIABILITY / INSURANCE Street Dining room and café (main building), spa therapy centre (Palladio). All tickets and reservations made by the Organising Committee in The conference secretariat address, where all inquiries on the Please mail or fax this form to: respect of the services provided by the hotels and the companies technical topics, exhibiting, submittal of abstracts, general topics, programme or accommodation should be addressed is: UNIVERSITA KARLOVA providing road transport are made by the Organising Committee as agent, and not as principal. The Organising Committee accepts no City Address: Hlavní třída 390, Mariánské Lázně. category: ** responsibility for death, injury, loss, accident, or delay arising in Walking distance to Casino: 10 min. Ms. Kateřina Rosíková connection with such services. The organisers make no warranty or Rooms with toilet, bathroom with either shower or tub, telephone, TV. Department of Nuclear Chemistry representation in connection therewith. All such services are provided No parking, Central City Garages next to the hotel. Please mark: Faculty of Nuclear Sciences and Physical Engineering subject to local laws. Delegates are therefore strongly advised to take Czech Technical University in Prague out adequate personal insurance. Břehová 7, 115 19 Prague 1, Czech Republic ZLATÝ ZÁMEK The Organising Committee reserves the right to amend the Fax: (+420 2) 232 0861 Address: Klíčová 4, Mariánské Lázně. Category: ** conference arrangements if necessary. If it is necessary to cancel any E-mail: firstname.lastname@example.org Walking distance to Casino: 5 min. Rooms with toilets, bathroom of the conference arrangements, an appropriate refund will be made http://www.fjfi.cvut.cz/radchem with a shower, telephone. Parking available. and thereafter the Organising Committee's liability will cease.
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