The Sixth Nordic Congress on Photosynthesis

Umeň, 25 - 27/10

 

Please print this page out, fill in the form using capital letters, sign it and send it to the address/fax no. given below.

 

Last name/first name:_________________________________________________

Department/Inst:_____________________________________________________

Mailing address:_____________________________________________________

City:_________________Zip:__________________Country:__________________

Daytime phone(country and area code):____________________________________

Fax:________________________Email:__________________________________

 Registration fees:

Delegate SEK :____ Postdoc/student SEK :____

Total registration fee:____________________________

The registration fee includes admittance to the scientific program, the Welcome reception and the Conference dinner.

I plan to attend the following events:

Welcome reception:____ Conference dinner:____

 

Special request

If you require special attention or if there is anything we can do to make your attendance at this event easier, please specify:

 _____________________________________________________________________

 Dietary requests:________________________________________________________

Hotel reservation

Please indicate room category.

Hotel Winn Single, SEK 880:____ Double SEK :____

Hotel First Hotel Wasa Single, SEK 860:____  Double :____

Rates are quoted per night and include breakfast and VAT. The rooms are available from 2 pm.

Total amount hotel cost:_______________________________________________

(Prices may be subject to adjustment).

Date of arrival:_____________Date of Departure:_____________Non-smoker:____

I want to share my room with:______________________________________________

 

Registration/Payment/Cancellation

The registration form can be mailed/faxed by August 23, to:

Umeň Congress, Box , 907 13 Umeň, Sweden

Fax:

Tel no:

 

Payment by credit card (all payments must be remitted in SEK)

We accept the following cards:

American Express:____ Eurocard:____ Mastercard:____Visa:____

Card number:_____________________Exp date:_________________

Total amount registration fee SEK:_____________________________

Name of Cardholder:_______________________________________

Address/City/Country:______________________________________

I authorize Umeň Congress to charge my credit card for the amount of

SEK:________________________ (registration fee and hotel cost).

 

Signature:________________________________________________

 

Invoice

Delegates from the Nordic countries can have an invoice for all costs connected to the Congress.

I want an invoice to be sent to the following address:

________________________________________________________________________

 

Cancellation /Confirmation

Should you have to cancel your registration before September 20, the cancellation fee is SEK 500. After September 20 no refunds will be made.

A letter of confirmation will be sent to the delegates 3 weeks before the Congress starts.