Registration Form
To register for the CGW'06 event, please complete this form. It will be e-mailed automatically to the Organizers.
PERSONAL and CONTACT DETAILS
Title
Prof.
Dr.
Ms.
Mr.
First Name
Last Name
Institution
(in English)
Postal Address
City
ZipCode
Country
NIP (for Polish
participants only)
Institution name
on the badge (in Eng.)
Phone
Fax
E-mail
TUTORIAL CHOICE
Click here if you are going to attend tutorial:
tutorial
Oct 15, 2006
PAYMENT
Please fill in the appropriate places:
Registration fee
850 PLN - late,
450 PLN - student's late
850
450
0
Wieliczka event
for the accompanying person
visiting and dinner - 200 PLN
0
200
Tutorial
tutorial - 40 PLN
0
40
----------------
TOTAL PAYMENT:
PLN
The registration fee includes: admission to the workshop sessions, workshop materials, lunches, coffee breaks, Wieliczka event.
METHOD OF THE PAYMENT:
The TOTAL PAYMENT should be transferred to the Workshop bank account:
Payee:
Bank:
ACK CYFRONET AGH
BPH O/Kraków
ul. Pijarska 1
31-015 Kraków, Poland
Account number:
SWIFT:
Name:
03106000760000330000157160
BPH KPL PK
CGW'06
Please mention clearly your name on the payment order.