REGISTRATION FORM

PARTICIPANT Mr.
Ms.
Prof.
Assoc. Prof.
Dr.
Research Asst.
Others

Name : Surname :
Address :  
City :  
Zip : State / Country :
Tel : Fax : E-mail :
Badge Nickname :

Accompanying Person(s) not entitled to attend the Scientific Programme.
Name : Surname :
Badge Nickname :  

REGISTRATION FEE
Before July 1, 2003
After July 1, 2003
On-Site
Congress Participant
€ 250
€ 300
€ 350
Student
€ 150
€ 200
€ 250
Accompanying Person
€ 100
€ 150
€ 150
 
 
       
I hereby authorize Flap Tour Travel Agency to debit the total amount of the services booked by me on this form my credit card.
METHOD OF PAYMENT  
(Please tick appropiate box)

Credit Card  
 
Card Type : VISA MasterCard
Card No :
Cardholder's Name :
Exp. Date :

 

Bank Transfer  
Bank : IS BANKASI
Branch : BASKENT
ADDRESS : ATATURK BULV 191/C 06680 ANKARA / TURKEY
A/C NAME : FLAP TUR RAPID TRZ SAN TIC LTD
A/C NUMBER : 4299 2285 780
SWIFT CODE : EURO

CANCELLATION POLICIES :

For the registration, 50% of the fee will be refunded, only if written notice of cancellation is received by July 1, 2003. Cancellations after this date will not be entitled to any refund.

No refund will be given in case of no-show, late arrival, unused services, unattented events or early termination of attendance. All refunds will be processed after the Congress.