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REGISTRATION FORM FOR ATTENDEES Conference fee in EUR ...

REGISTRATION FORM FOR ATTENDEES Conference fee in EUR ...

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FACULTY OF LOGISTICS, MARIBORSKA CESTA 7, CELJE, SLOVENIA<br />

22 AND 23 SEPTEMBER 2011<br />

<strong>REGISTRATION</strong> <strong><strong>FOR</strong>M</strong> <strong>FOR</strong> <strong>ATTENDEES</strong><br />

Name and surname<br />

Title/Position<br />

Organisation/Affiliation<br />

VAT No.<br />

Address<br />

Email<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

_______________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

Telephone _______________________________ Fax ________________________<br />

<strong>Conference</strong> <strong>fee</strong> <strong>in</strong> <strong>EUR</strong> <strong>in</strong>cludes two-day conference programme, refreshments, lunch on Thursday and<br />

Friday and conference social event.<br />

To benefit from group discount for presenters/listeners from the same school, please <strong>in</strong>clude <strong>in</strong>formation<br />

on who is the first, second, third or next participant from the same school <strong>in</strong> your registration form.<br />

Registration <strong>fee</strong> for presenters (VAT <strong>in</strong>cluded):<br />

• €105 _______________________________________________<br />

Name of the first participant from a faculty/school<br />

• €55€ _______________________________________________<br />

Name of the second participant from the same faculty/school<br />

• €35 ________________________________________________<br />

Name of the third participant from the same faculty/school<br />

• Please <strong>in</strong>clude names of all other participants from the same faculty/school who are exempt from pay<strong>in</strong>g the <strong>fee</strong>:<br />

____________________________________________________<br />

____________________________________________________<br />

____________________________________________________<br />

Registration <strong>fee</strong> for listeners (VAT <strong>in</strong>cluded):<br />

• €150 _______________________________________________<br />

Name of the first participant from a faculty/school<br />

• €75€ _______________________________________________<br />

Name of the second participant from the same faculty/school<br />

• €40 ________________________________________________<br />

Name of the third participant from the same faculty/school<br />

• Please <strong>in</strong>clude names of all other participants from the same faculty/school who are exempt from pay<strong>in</strong>g the <strong>fee</strong>:<br />

____________________________________________________<br />

____________________________________________________<br />

____________________________________________________<br />

Date ________________________ Signature ________________________


Please submit the completed form to the follow<strong>in</strong>g address:<br />

Fakulteta za logistiko<br />

Mariborska cesta 7<br />

3000 Celje<br />

Slovenija<br />

You can also e-mail the form to the follow<strong>in</strong>g address: <strong>in</strong>t.conference@fl.uni-mb.si or fax it to:<br />

+386 3 4285 338.<br />

Payment should be made to the account IBAN: SI56011006000010887, SWIFT CODE:<br />

BSLJSI2X with a postscript ‘forICLanguage’ followed by the participant’s surname, for<br />

example ‘forICLanguageSMITH’. As a reference please quote: 0702.<br />

If you would like us to <strong>in</strong>voice your <strong>in</strong>stitution, please supply bill<strong>in</strong>g <strong>in</strong>formation<br />

(<strong>in</strong>stitution’s name, address, VAT No.).<br />

The registration deadl<strong>in</strong>e for presenters is 31 August 2011, for listeners the deadl<strong>in</strong>e is 12<br />

September 2011.<br />

Information about the author<br />

I hereby grant to the Professional Committee of the International <strong>Conference</strong> on the<br />

Importance of Learn<strong>in</strong>g Professional Foreign Languages for Communication between<br />

Cultures a license to publish the paper <strong>in</strong> the <strong>Conference</strong> Proceed<strong>in</strong>gs.<br />

_____________________________________________________________________<br />

(name and surname of the author/authors)<br />

_____________________________________________________________________<br />

(title of the article)<br />

I also confirm that at least one author plans to register for the conference and present a paper <strong>in</strong><br />

the form of (please, mark the chosen form):<br />

Presentation: 25-m<strong>in</strong>ute session (20-m<strong>in</strong>ute presentation + questions)<br />

Workshop: 25 m<strong>in</strong>utes or 45 m<strong>in</strong>utes<br />

Request any Special Audio/Visual Equipment<br />

Presentation rooms will be equipped with a podium microphone, a W<strong>in</strong>dows-based computer<br />

with speakers, Internet connection, and an LCD projector.<br />

Should you have any additional audio/visual needs, please request them below and we will do<br />

our best to accommodate them.<br />

Special A/V requests: __________________________________________________________

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