Important information:
Please take in account, that you cannot make additional changes in this Registration Form
after you have sent it.
In the case of any changes of accommodation and-or of other payments
you have to contact directly
ICARIS Ltd. by sending an E-mail (to romana@icaris.cz ) with the suggested changes.

REGISTRATION FORM
NCM10

September 18 – 22, 2006 ··· Praha, Czech Republic

Title:

(12)

Prof. Dr. Ing. Other degree:

Sex:

Mr. Ms.

Family name:

(25)

First name:

(25)

Organization:

(60)

Department:

(50)

Street (or other type of location):

(20)

City (including Postal Code):

(40)

Country:

(20)

Phone:

(30)

Fax:

(30)

E-mail:

(50)

Password:

(20)

Confirm password:

(20)

Registration Fees
	before May 31, 2006			after May 31, 2006
Full conference fee:		13.900	CZK		15.200	CZK
National Member EPS fee:		12.800	CZK		14.000	CZK
Individual Member EPS fee:		11.300	CZK		12.400	CZK
Student´s fee:		7.500	CZK		8.200	CZK
Accompanying person´s fee:		3.000	CZK		3.000	CZK

Number and names of accompanying persons:

Conference dinner – Thursday, September 21, 2006

Number of tickets Price of the dinner (see section Miscellaneous / Social Program) - 1.500 CZK

Tours
	Number of tickets:	Tuesday, September 19, 2006 / Price: 600 CZK / Prague Castle
	Number of tickets:	Wednesday, September 20, 2006 / Price: 420 CZK Walk through the Old Town
	Number of tickets:	Wednesday, September 20, 2006 / Price: 500 CZK / Lesser Town & Charles Bridge
	Number of tickets:	Wednesday, September 20, 2006 / Price: 1.500 CZK / Èeský Krumlov
	Number of tickets:	Thursday, September 21, 2006 / Price: 800 CZK / Jewish Prague

Visa
Participants who need visa to enter the Czech republic should contact the Czech Embassy or Consulate well in advance of the conference dates.
I will need a confirmation letter for the visa application procedure

Accommodation
In order to make a reservation for your accommodation, you must pay a one night deposit when you register. We are able to realize your reservation only when at least the one night deposit will be paid by April 15, 2006. Please wait for re-confirmation of your reservation before your payment.
Maleor Female
Arrival/Check IN:	September , 2006
Arrival/Check OUT:	September , 2006
a single-bed room
a double-bed room
Yes, I wish to share a double-bed room with another participant.
Name of this participant:
I am paying in advance only a one-day deposit, I will pay the rest at the registration desk after my arrival.
I am paying in advance for my whole stay.

	Single-bed room		Double-bed room
Arbes Mepro	2 200	CZK	2 800	CZK
Art	3 700	CZK	4 300	CZK
Aton	1 400	CZK	2 000	CZK
Hostel Kajetánka	540	CZK	1 000	CZK
Kamila	1 885	CZK	2 175	CZK
Parkhotel	3 100	CZK	3 800	CZK
Pyramida	3 600	CZK	4 000	CZK

Payment method
Bank transfer		(International bank transfer = preferred method)
Cheque
Credit Card

REGISTRATION FORM NCM10

REGISTRATION FORM
NCM10