REGISTRATION FORM
Personal Information
Family name		
Name		
Institution/Company		
Country		
Phone		
E-mail		
Accompanying Person
Family name	

Name	

Registration Fee 

Preregistration (payment before      July 15th)	
Regular registration (payment before       August 15th) 	
Late registration
(payment before September 15th )	

*Student Fee	
□ 200 €  	
□ 280 €  	
□ 350 €  	

**Accompanying Person Fee	
□ 75 €	
□ 75 €	
□ 100 €	

* The student registration fee includes:
•	Attendance to the Conference programme (including the social programme)
•	Symposium bag with the program, certificate of attendance, book of abstracts 
** The accompanying person fee includes the social programme, organized by DiscoverDalmatia travel agency

Billing Information
Institution/Company	

VAT ID number	

Address	

Country                   	

All fees should be paid in advance in euros by Bank transfer. Purpose of payment "Surname_Biophysics2014_Fee" 
Note: Please include your surname since it enables us to keep the track of the payments.
Bank transfer to: 	
Bank:  	
ZAGREBAČKA BANKA D.D	

Bank charges are the responsibility of the payer and should be added in addition to the fee!	
Address:  	
Paromlinska 2, Zagreb	

Beneficiary: 	
ProConventa d.o.o.	

VAT ID number:  	
HR04727302481	

Account number:  	
2360000-1102374225	

IBAN:  	
HR2223600001102374225	

BIC/Swift Code:	
ZABAHR2X	

Reference number:	
HR99 270906102014-your VAT number	

Place & Date:	

Signature:	

	

For hotel accommodation please visit http://soft.ifs.hr/school/venue/