If you cannot use the online registration, please print this registration form and fax or send it to ICARIS LTD.
General
Degree:	Other degree:
Prof. Dr.		MaleFemale
Family name:		First name:
Organisation (institute, university):
Department:
Address: (or other type of location)
City: (including postal code)		Country:
Phone: (country code/number)		Fax: (country code/number)
e-mail:
Enter the MAC address of your laptop netwotk interface:
		WirelessCable
Fees
Registration fee
Full fee - 8.000 CZK (250 EUR) Accompanying person's fee - 3.000 CZK (95 EUR)
Number of accompanying persons:		Name(s):
Technical excursion
Laboratory visit (17 September 2003 - Wednesday afternoon) Prague Walk (17 September 2003 - Wednesday afternoon) None
Excursion - Number of persons
Old Town Square, Ungelt (15 September 2003 - Monday afternoon) - 850 CZK Lesser Town, Charles Bridge (16 September 2003 - Tuesday morning) - 850 CZK Konopiště Castle (17 September 2003 - Wednesday whole day) - 1.250 CZK
Visa
Participants who need a visa to enter the Czech Republic should contact the Czech Embassy or Consulate well in advance of the Conference dates. I will need an invitation for the visa application procedure
The organizers expect to be able to cover the registration and/or hotel fees for a small number of participants of the Meeting. If you would like to be considered for financial assistance please contact the organizers on aw2003@particle.cz .
Accommodation booking form
Arrival:		Departure:
September		September
Hotel:		Room:
Hostel Masarykova kolej Krystal*** None		Single-bed room Twin-bed room None
I wish to share a twin-bed room with another participant Name of this participant:
Note
Payment
I am sending the money by:
Credit Card (Visa, Eurocard/MasterCard, American Express, Diners Club and JCB) For credit card payment, please, fill in the special form below. Please note, that a simple electronic submission is not acceptable in this case. The signed form should be sent by fax or post or as a scanned file to ICARIS Ltd., Conference Management. International money transfer or bank transfer made directly to the bank in Praha (Prague) quoting the name of the participant:      Bank: HVB Bank Czech Republic a.s.,      Nám. Republiky 3a, 110 00 Praha 1, Czech Republic      Account name: ICARIS      Account number: 504 738 0023      Bank connection (Swift Code): BACXCZPP All payments must be free of bank charges to the receiver, i.e., all bank charges for effecting the international money transfer must be met by the remitter, including those imposed by the beneficiary's agents (HVB Bank Czech Republic a.s., Prague). This must be explicitly stated when authorising the international money transfer order. Eventual overpayments or amounts outstanding will then be settled after the arrival at the registration desk. Cheques directed to ICARIS Ltd., and sent in a registered letter to ICARIS Ltd., Conference Management