Online 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 Congress Business Travel Ltd.

= required field

1. Personal Data

Title, First name

Surname, Title

Address

City

ZIP Code

Country

Telephone+ (+420 123456789)

E-mail

2. Registration

Due to great interest in our conference, we have already reached the maximum capacity of the venue.
For further applicants, we newly offer online streaming access.

		Payment
Registration
Scientist, student, TTO	EUR 150	EUR
Regular	EUR 200	EUR
On-line stream
Total		EUR

All fees include VAT.

3. Payment

Credit Card – Push payment system

Payment through the Global Payment Europe - PUSH payment.

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 redirected 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	813 + 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 Congress Business Travel Ltd.

4. Payer

A proforma invoice will be issued upon request.

I request a proforma invoice

Specify invoicing address

Organization name

Invoice address

City

ZIP code

Country

Contact person

Telephone+ (+420 123456789)

E-mail

VAT

5. Notes

6. Agreement with the Use of my Pesonal 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.