PERSONAL DATA


REGISTRATION DATA

CZK (= EUR)
CZK (= EUR)

Registration fee includes the following: Access to all scientific sessions, scientific materials, welcome drink, social event, coffee breaks, lunches. (VAT included)

Optional
CZK (= EUR)
ACTIVE PARTICIPATION - POSTER SESSION


ACCOMMODATION

ACCOMMODATION








. 2016
. 2016
CZK (= EUR)




Accommodation prices:
Hotel single room double room
Hotel The Golden Star****2100 CZK2300 CZK
Hotel DAP***1200 CZK1700 CZK
Hotel Art Hotel Meda****1200 CZK1400 CZK

The room price includes one night in a single or double room, and breakfast. (Price includes VAT.)

CANCELLATION POLICY
Cancellation By May 15, 2016 May 16 - July 3, 2016 From July 4, 2016
Registration - 50% N.A.
Accommodation - 1 night deposit N.A.

Cancellation request will be accepted only by e-mail, fax or mail sent to the address of the AMCA Agency (see the bottom of this page) with a reference to EVEQ´16 / your registration ID.




PAYMENT
MasterCard Maestro VISA VISA Electron MasterCard SecureCode Verified by VISA

Internet payment may be made after submitting your registration.
On-line credit card payments over the internet are secured by 3D SECURE.

25.46 CZK / 1 EUR
Bank: Fio banka, a.s., V Celnici 10, 117 21 Prague 1, Czech Republic
Account Name: AMCA, spol. s r.o.
Account Number: 2001055491/2010
IBAN: CZ37 2010 0000 0020 0105 5491
BIC: FIOBCZPPXXX
Details of payment: Please enter the registration number you will receive in the e-mail confirmation of your registration
N.B. Please note that all direct bank transfer charges must be covered by the participant. Please forward a copy of your bank transfer order to the address of the secretariat.

0 CZK (= EUR)
Please make payment in CZK. Stated amount in EUR is just informative.
ANTISPAM PROTECTION

Type only the black letters below.

By submitting this form I agree to the use of my personal information by the company AMCA, spol. s r.o. in accordance with the Czech Personal Information Protection Act 101/2000.