Hakone 2002 Registration form

Final Registration Form for

Eighth International Symposium on High Pressure,

Low Temperature Plasma Chemistry (HAKONE VIII)

July 21 - 25, 2002

Prof

First name :

Second name :

Surname :

Position :
Department :
University/ Organization :

Address for correspondence :

Street and No :

Zip/Postal code :		City :
Country :
Phone :		Fax :
E-mail :

Accompanying person(s) :

Mr		Ms
Name :		Surname :
Name :		Surname :

Registration fees to be paid depending on your requests and number of accompanying persons:

Category		Your choice and the number of accompanying persons	Before March 30, 2002	After March 30, 2002	Amount, EUR
A	Regular participant accommodated in a double room		300 EUR	330 EUR
B	Regular participant accommodated in a double room for single use		360 EUR	400 EUR
C	Full time student		230 EUR	250 EUR
D	Accompanying person		230 EUR	250 EUR
Publication fee of the 3^rd paper			50 EUR
Total amount in EUR to pay for registration and accommodation:

In cases A, C, D indicate your preference of the room sharing with

All prices include the VAT.

The symposium fees A and B for regular participants will cover symposium participation and proceedings, accommodation in Pühajärve Hotel (four nights), full board (breakfast, lunch, dinner), welcome cocktail, coffee breaks, conference dinner, and excursion.

Symposium fee C for full time students will cover the same services as the regular fee does, except the proceedings. An official letter signed by an authorized representative of the student’s university should validate the full time student status. This letter will be required at the time of registration.

Fee D for accompanying persons will cover accommodation in Pühajärve Hotel (four nights), full board (breakfast, lunch, dinner), welcome cocktail and conference dinner, excursions.

I present the following papers at the symposium (indicate title and topics number; make a cross in the box if you do not want your paper will be published on the symposium homepage before the symposium):

(I declare that the additional 50 EUR is paid for publication of the 3^rd paper)

The participation fee is to pay by bank transfer and the remitter must carry all bank charges. The symposium fee must be transferred in full; otherwise, the LOC will request you to balance your account at registration. No registration without payment will be considered.

Bank transfer details are as follows:

Payment to: University of Tartu
Reference: SFKEF (add here in parentheses your name and the remark "Symposium fee")
Account no: 10102000234007
Bank: Union Bank of Estonia
Bank address: Branch of Tartu, Küüni 9, 50099 Tartu, ESTONIA
SWIFT code: EEUHEE2X

Date of payment:

Travel details:

Arrival date:

Departure date:

Visa:

I require a letter of invitation for an Estonian entry visa application
Date of birth (DD/MM/YYYY)
Country where I shall apply for the visa

Additional conditions:

In case of cancellation before April 30, the amount already paid will be refunded, except for EUR 50, retained by LOC as fee.

In case of cancellation after April 30, all refunding requests will be submitted for LOC approval.

Your special requests: