R e g i s t r a t i o n Please, register by printing and filling this form and by sending this form to Marjo Holma at P.O. Box 461, 40101 Jyväskylä, Finland or by Fax +358 14 619 009 |
| PARTICIPANT |
Surname |
First name |
| Title or position | ||
| Organisation/Company | ||
| Street address | ||
| Postcode |
City |
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| Country | ||
| Telephone |
Telefax |
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| Email | ||
| [Please check box if you wish to participate] | ||
| REGISTRATION FEES Only one active participant on one form Full registration includes lectures, reception on opening evening, Saturday party, Sunday brunch and Jyväskylä field trip on Sunday afternoon. |
€ / person Full |
€ / person 1 day only |
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| Participant early bird registration before June 15 |
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| Student and post-graduate student early bird registration before June 15 |
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| Participant after June 15 |
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| Student and post-graduate student after June 15 |
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PAYMENT OPTIONS |
Bank payments to Nordea Helsinki-Senaatintori Account 102130-606035 IBAN FI89 1021 3000 6060 35 SWIFT NDEAFIHH (No cheques accepted) |
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| Credit card (check one): |
Visa |
Mastercard |
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| 16-digit card number | |||
| 3 last digits from signature panel on back of your card | |||
| Expiration date ____/____ | Cardholder's name as it appears on card | ||
| Date | Signature | ||