PRAHA2012 - Preregistration

PREREGISTRATION FORM

Use this fill-out form to preregister for PRAHA2012.

Please note:

When you have filled out the form, click the button at the bottom of the page to submit the data.
In order to write in a field, move the cursor inside it!
WARNING: Do NOT press RETURN when you have completed a field. Just move the cursor into the next field.

Last name
First name
Department
Institution
Street address
Postal code
City
State
Country
Phone
Fax number
Email

I plan to attend the PRAHA2012 meeting accompanied by person(s), who will not participate in the scientific part of the conference.

I would like to receive the second circular

I am a student

a post-doctoral fellow

none of these .

I will require, as far as I can presently plan, the following type of accommodation:

Single room Double room
Student dormitory CZK 700- 1100 CZK 500- 700
Hotel *** CZK 1600- 2000 CZK 1000- 1500
I do not require any accommodation

I would be willing to share a double room (Roommate can be specified at final registration).

The preliminary rates given are per person per day with breakfast included.

In October 2011, 100 CZK (Czech crowns, Kč) is approximately equivalent to 4.05 EUR (), to 5.45 USD ($), and to 3.50 GBP (£).

If you wish accommodation of a higher category, please contact the local organizing committee.

PLEASE NOTE THAT PREREGISTRATION DOES NOT REPLACE REGISTRATION FOR PARTICIPATING IN THE CONFERENCE! The actual reservations must be made on forms that will be distributed with the second circular; by filling out this preregistration form you help us assess the demand for different types of accommodation.

Mail comments to

praha12@vscht.cz

Last changed: 16-Oct-2011

	Single room			Double room
Student dormitory	CZK	700-	1100	CZK	500-	700
Hotel ***	CZK	1600-	2000	CZK	1000-	1500
I do not require any accommodation