Symposium Registration Form

Please note that every person fills Registration Form, that means accompanying person should register separately. You can use 'Special requests for accommodation' to inform us to share room with 'somebody'.

Personal (We are going to use these information just for purpose of this symposium.)
First Name*:			Last Name*:
Post address:
Organization:			Country:
E-mail*:			Phone number:
Lecture / Contribution

I assume I will have a lecture on symposium with Topics:

I will need for lecture (except computer and dataprojector):
I expect duration of lecture (standard: 10 min + 10 min discussion):
Annotation of lecture (about 5-6 sentences, if you need more, let us know and send e-mail):

Web Design: Ota Kéhar

Rokycany & Plzen Observatory - hvr.cz/en

Accommodation (payment in CZK on hotel reception by cash or bank card)

I ask for reservation of:
Room: Nights:			from Fri 24^th Aug to Sat 25^th Aug from Sat 25^th Aug to Sun 26^th Aug from Sun 26^th Aug to Mon 27^th Aug from Mon 27^th Aug to Tue 28^th Aug from Tue 28^th Aug to Wed 29^th Aug from Wed 29^th Aug to Thu 30^th Aug
Special requests for accommodation (share room with, ...):
Food (part of symposium fee)
Special requests for food (dieting, vegetarian, alergy...):
Symposium Fees (payment by transfer to bank account)
Fee (please select):			Members of IOTA and IOTA/ES (70 EUR) Non member (80 EUR) Accompanying person (35 EUR)
Excursions (payment by transfer to bank account)
I will attend:			"Ladies" program on Sat 25^th Aug (0 EUR) "Ladies" program on Sun 26^th Aug (0 EUR) Excursion on Mon 27^th Aug (50 EUR) Excursion on Tue 28^th Aug (40 EUR)

I will send Payment to bank account of organizer no later than 1^st July 2018.
Registration is finished, conference is over.