Eucarpia Leafy Vegetables 2019

Eucarpia Leafy Vegetables 2019 - registration form

1) general information

Title

First name *

Surname *

Institution

Institution name *

Department *

Street Address *

City *

ZIP / Postal Code *

Country *

E-mail *

Phone no

2) participation information

Type of participation *

Passive
Active – Lecture
Active – Poster
Active – Lecture and poster

Scientific committee will decide if applied contribution will be accepted as poster or oral presentation.

Lecture or / and poster title(s) *

Author / authors team *

3) registration fees

All registration fees include 21% VAT

Participant category *

Regular participant: € 450
Eucarpia member: € 400
Student: € 250

I wish to be accompanied by non-participating person

Please note that there is an extra € 200 fee per accompanying person.
The fee only covers participation in the social programme and the excursion.
It does not cover conference materials, book of abstracts, attendance at conference sessions nor refreshments (including lunches) during the scientific programme.

Full name of the accompanying person *

Notes (optional) *

4) payment method

Please select your payment method *

Invoice
Bank transfer
Credit card payment
At the registration desk upon arrival

Billing data *

Details for the payment in EUR:
Beneficiary: Univerzita Palackého v Olomouci
Bank address: KB, a.s. Olomouc, tř. Svobody 14, CZ-772 14 Olomouc
Account number: 43-3855090287/0100
Variable symbol: 999010017
IBAN: CZ9801000000433855090287
Swift Code: KOMBCZPP

Details for the payment in CZK:
Beneficiary: Univerzita Palackého v Olomouci
Bank address: KB, a.s. Olomouc, tř. Svobody 14, CZ-772 14 Olomouc
Variable symbol: 999010017
Account number: 19-1096330227/0100

After submitting your registration you will receive a confirmation e-mail with a link for the credit card payment.

You will be asked to pay in cash (Euros or Czech Crowns) or by credit card at the registration desk.
For the information about the registration on the spot, please see the preliminary daily program.

I request VAT receipt/bill

Important notes:

The cancellation deadline for registration fee refund (minus 25% administrative charge) is 31 May 2019. There will be no refunds for cancellations made after this deadline. All approved refunds will be payed after the conference.
After 18 June 2019, payments of the conference fee will only be possible in cash (EUR or CZK) or by credit card at the registration desk.
If you require any further information about the registration, please contact konferencniservis@upol.cz.
By submitting you agree with the use of your personal data for the conference organizing purposes.