November 18-20, 2010
Eurostar Diana Palace Hotel. Palencia (Spain)
Workshop
Programme
Registration
Participants
Location
Organised by:
Senior Workshop Fee: 260 Euros
Student Workshop Fee: 180 Euros
Registration fee includes:
Admission to Workshop
Conference material
Workshop Infrastructure (room, audio-video, etc)
Conference dinner
Coffee breaks
Registration Form
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Male
Female
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Mr./ Mrs./ Ms
Dr./ Professor.
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.: Select your country :.
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Phone
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Fees
Regular Fee
260 Euros
Student Fee
180 Euros
Accompanying Person Name
Additional Info
Arrival Date
:
Day
18
19
20
21
November 2010
Departure Date:
Day
18
19
20
21
November 2010
Vegetarian?
:
No
Yes
Other Special Info
P A Y M E N T
PLEASE, CHOOSE A PAYMENT METHOD
Bank Transfer
Credit Card
1) Bank transfer
to the order of
"Fundacion Phantoms"
must bear the mention
"FREE OF CHARGE TO THE RECEIVER"
and must indicate
TEP2010 Workshop
and
LAST and FIRST NAME
of the participant to facilitate identification and to the following bank account:
Caja Madrid
Pabellon C – PCM, 28049 Cantoblanco (Madrid) – Spain
Swift Code: CAHMESMMXXX
Account nº: 2038 1608 7060 0001 1588
Phantoms Foundation VAT Number: G83352724
PLEASE, SEND BY EMAIL (
jlroldan@phantomsnet.net
) A COPY OF YOUR BANK TRANSFER
MAKING CLEAR THE NAME OF PARTICIPANTS
TO TEP2010 Workshop.
ALL BANK CHARGES SHOULD BE PAID BY THE APPLICANTS.
2) Credit card
[ VISA - MasterCard ]
VISA
MasterCard