Please use TAB key to navigate between form fields. Fields marked with * is required for your registration.

 Participant 

Title:  [select] ---------------------------------- Dr. Prof. PhD. Mr. Ms. Mrs.

*Family name: 

*Firstname: 

*Company: 

*Company on the badge: 

 Mailing address 

*Address: 

Code: 

*City: 

*Country: 

Phone: 

Fax: 

*E-mail: 

 Billing address 

Customer name: 

Address: 

Code: 

City: 

Country: 

Contact name: 

Contact phone: 

Contact fax: 

Contact e-mail: 

 Registration fees 

*Registration Fee:  [select] ----------------------------------   EARLY FEES (payment received before July 18, 2006) ----- Early registration fee: 360 EUR Early student registration fee: 300 EUR   REGULAR FEES (payment received before July 18, 2006) ----- Regular registration fee: 400 EUR Regular student registration fee: 340 EUR   LATE OR ON-SITE FEES ------------------------------ Late fee (also for students): 440 EUR

Accomp person fee:  [select] ---------------------------------- Accompanying persons' fee: 100 EUR

Accomp person name: 

 Hotel Accommodation 

Room type:  No room required ------------------------------------------------------------------------------------- Hotel Gellért **** - Single room: 110 EUR Hotel Gellért **** - Double room: 155 EUR ------------------------------------------------------------------------------------- Hotel Taverna **** - Single room: 116 EUR Hotel Taverna **** - Double room: 150 EUR ------------------------------------------------------------------------------------- Hotel Ibis Budapest Centrum *** - Single room: 100 EUR Hotel Ibis Budapest Centrum *** - Double room: 110 EUR ------------------------------------------------------------------------------------- Hotel Corvin *** - Single room: 65 EUR Hotel Corvin *** - Double room: 75 EUR ------------------------------------------------------------------------------------- Univ Dormitory - Double room: 24 EUR Univ Dormitory - Three bedded room: 30 EUR

Arrival:  [select] ---------------------------------- August 30. Wednesday August 31. Thursday September 1. Friday September 2. Saturday Other date, please indicate in the Remarks field

Departure:  [select] ---------------------------------- August 31. Thursday September 1. Friday September 2. Saturday September 3. Sunday Other date, please indicate in the Remarks field

No of nights: 

Remark: 

 Extra orders 

Welcome Reception:  [select] ---------------------------------- not required Extra ticket for 1 accompanying person: 10 EUR Extra ticket for 2 accompanying persons: 20 EUR

Gala Dinner:  [select] ---------------------------------- not required Extra ticket for 1 accompanying person: 45 EUR Extra ticket for 2 accompanying persons: 90 EUR

 Way of Payment 

*Payment:  [select] ---------------------------------- Bank remittance Credit card mail order