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| R e g i s t r a t i o n f o r m f o r p a r t i c i p a n t s | |||||
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Contact information |
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Surname Mr/Mrs |
First name(s) |
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Title |
Position |
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Company/Organization |
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Postal address |
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Town Postcode/ZIP Country |
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Telephone |
Fax |
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Date lunes, 31 marzo 2003 |
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Please tick box if appropriate |
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Conference fee |
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400 € |
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Reduced conference fee |
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All participants before 1 January 2003 |
300 € |
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ECTP, AETU-ACTU and other association members |
300 € |
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Students |
150 € |
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(proof of your status as a full-time student in 2003 is required) |
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Authors of papers submitted |
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Programme |
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Yes I am interested in attending the workshops on the topic (first choice) |
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European level: Connecting cities in Europe |
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Regional Level: Connecting the cities in the region |
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City level: Connecting social groups and districts |
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Street level: Connecting citizens |
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Payment method |
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Credit card |
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Card type |
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Card no |
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Expiry date |
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Card holder name |
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Address - If different from above |
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Town Postcode/ZIP Country |
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Organisation
Identification Number:
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Money transfer |
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Agrupaciò Catalana de Tècnics
Urbanistes - ACTU
SWIFT CODE:
CESCESBBXXX |
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| Please do not forget to register online to the excursions!!! | |||||
| List of excursions | Excursion Registration Form (online) | ||||
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Signature ______________________________________________________________ |
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Please print,
sign and send this registration form to |
FAX: +34.93.203.85.50 |
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Registration fees do not include hotel accommodation, travel and personal
expenses. |
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