For only one participant!

		Please use only Latin characters. Please do not use Cyrillic characters or special symbols like ä, ö, ü or ß !

Title:

Name:

First name:

Affiliation:

Department:

Address:

Country:

Telephone:

Telefax:

E-Mail:

Symposium Fee before 1st August 2008

		Please tick: X

Participant: 200,- Euro:

Student: 50,- Euro:

Companion: 50,- Euro:

Symposium Fee before 1st August 2008 for Participant former CIS States:

Participant: 100,- Euro:

Student: 20,- Euro:

Companion: 50,- Euro:

Symposium Fee after 1st August 2008

Participant: 250,- Euro:

Student: 100,- Euro:

Companion: 100,- Euro:

Symposium Fee after 1st August 2008 for Participant former CIS States:

Participant: 150,- Euro:

Student: 70,- Euro:

Companion: 100,- Euro:

The payment should be done by bank transfer after being invoiced.