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Registration forms

 

 

 

REGISTRATION FORM *.doc

 

REGISTRATION FORM *.rtf

 

 

Send the Registration form and a copy of the bank transfer by mail (or fax) to the Organizing Secretariat.

Account owner: Czech Geological Survey, Prague

 

e-mail: daskova@gli.cas.cz

fax: ++ 420 - 220 922 670

 

 

 

 

 

REGISTRATION FORM

CIMP General Meeting 2006

September 2-6, 2006

 

Send the Registration form and a copy of the bank transfer by mail (or fax) to the Organizing Secretariat.

Deadline for receipt as an early registration: April 10, 2006

 

 

1. Registration fee(s): deadline for early registration: April 10, 2006 (fill a number of persons)

 Professionals (early 160 EUR, late 210 EUR)..............

Students (early 100 EUR, late 160 EUR)..............

Accompanying person(s) (98 EUR)..............

 

 2.  Pre conference Field trip – Sat – September 2 (52 EUR /person)

 

Number of persons ………….

 

 

3. Post conference Field trip – W – September 6 (42 EUR /person) – who is interested in the Post conference Field trip, you have to register on web pages of 7th European Palaeobotany-Palynology Conference - www.conference.cz/eppc2006

 

Registration forms: https://www.conference.cz/eppc2006/forms/reg_form.php - Field trip No. A

 

 

4.  I wish to attend the Gala Dinner (25 EUR /person) held on September 5, 2006:

 

Number of persons ……..

 

(Menu will be announced later)

 

 

5. I order vegetarian food at luncheons and refreshments (special diets):

 

Yes or No ………

 

(Remarks: …………)

 

 

 

TOTAL PAYMENT

I will send a copy of the bank transfer of the total amount of .............. EUR

 

Bank account No.:

Komerθnν banka a.s., Praha 1, Malostranskι nαm.23
IBAN CZ29 0100 0000 5119 2537 0227

SWIFT/BIC/ KOMB CZ PPXXX

 

Account owner: Czech Geological Survey, Prague

 

 

 

 

First Name Surname Title:

 

Institution/Affiliation:

 

Mailing Address:

 

Post Code Town Country:

 

Phone Fax E-mail:

 

Accompanying person(s):

 

 

 

 

Title of presentation:

 

Poster – Lecture:

 

Topics: …………..

 

A. Palaeozoic marine microplankton

B. Palaeozoic spores and pollen

C. Chitinozoans, dinoflagellates and scolecodonts

D. Open presentations

 

 

Abstracts for session A send to: fatka@natur.cuni.cz

Abstracts for session B send to: mrbean@gli.cas.cz

Abstracts for session C send to: rbrocke@senckenberg.de

Abstracts for session D send to: daskova@gli.cas.cz

Deadline: May 31, 2006

 

Proceedings with selected papers will be reviewed and published in journal with ISBN or in international journal with impact factor (details will be given later).

 

 

 

It is possible to include workshops on selected topics according to your suggestions:

 

………………………………………………………………

 

 

 

  

www.cimp2006.wz.cz

Laboratory of Paleobiology and Paleoecology

Institute of Geology, Academy of Science of the Czech Republic

Rozvojova 137

160 02, Praha 6 – Lysolaje

Czech Republic

Jirina Daskova: daskova@gli.cas.cz;  fax: ++420-220 922 670