Registration - step 1

Please check the contents of this form carefully as you will not be able to make modifications after submission.
If it is necessary to change any information after submission, please contact the Conference Secretariat.

= required field

1. Personal Data

Title, Given Name

Surname, Title

Affiliation

City

ZIP Code

Country

Telephone+ (+420 123456789)

E-mail

2. Registration fees

	Early paid before 20 October 2023	Regular paid after 20 October 2023	Payment
Registration
Student	8 900 CZK	9 900 CZK	CZK
Academic	10 100 CZK	11 300 CZK	CZK
Total			CZK

The registration fee covers accommodation in a double room (two nights), buffet meals (2× breakfast, 3× lunch, 2× dinner), refreshment during coffee breaks (4×), the Book of Abstracts and Conference materials. The registration fee can be paid on-line by card or by bank transfer.

3. Dietary Requirements:

Lactose free

Gluten free

Vegetarian

Vegan

4. Accommodation

I prefer to be accommodated with

Please specify the surname and name of the person with whom you would like to share the double room accommodation.

5. Abstract | abstract submission closed

Please use the template for the preparation of the abstract.

Download an abstract template

I would like to present my contribution as:

	short oral communication
	poster

I would like to apply for the Prof. Otakar Červinka Prize for the best short oral communication / poster

Attach abstract:

6. Payment

Credit Card – Push payment system

Congress Business Travel will generate a link for you, which will be sent to your email address to provide the payment within 5 working days. This link is valid for several days according to the date indicated in the link. When you receive the link, your browser will be redirectet to the payment gateway Global Payment webpay.

The Global payment Europe - is one of the most used in the Czech Republic with 3D Secure security and can accept payments issued by Visa, Mastercard, Dinners Club and American Express associations.

Bank Transfer

Bank name	Česká spořitelna
Bank address	Václavské náměstí 16, 110 00 Praha 1
Account number	1942073339
Bank code	0800
Account name	Congress Business Travel
IBAN	CZ63 0800 0000 0019 4207 3339
SWIFT / BIC	GIBA CZ PX
Payment details	810 + participant´s full name (for easier identification)

Please note that all bank charges should be fully covered by the payer.
The copy of the bank transfer should be sent by fax or mail to the Conference Secretariat.

7. Payer

A proforma invoice will be issued upon request.

I request a proforma invoice

Specify invoicing address

Organization name

Invoice address

Mailing Address

City

ZIP code

Country

Contact person

Telephone+ (+420 123456789)

E-mail

VAT

8. Notes

9. Agreement with the use of my personal data

I agree with the use of my personal data by the company Congress Business Travel spol., s r.o., in accordance with the Czech Personal Information Protection Act 101/2000 Sb. The data will be used solely for the purposes of this conference; giving consent is a necessary condition of your registration.