REGISTRATION FORM

Name (Last, First)
Organization
Street Address
City
State
Country
Zip or Postal Code
Telephone
Fax
E-Mail Address
Person with whom I would share a room (if applicable)




Fees (in Euros ONLY): 


Full Package* (accommodation in single room) € 680

Full Package* (accommodation in double room**) € 500 

Conference participation only (including meals on June 19, 20 and 21 but no field trips and no hotel accommodation, no transportation) € 85

Please indicate your preference for vegetarian meals, if any

Vegetarian

Please indicate departure date

June 23
June 24

 

* Full package, including admission to the conference, field trips, all meals, hotel accommodations. and transportation within Taiwan. Unfortunately, this year we cannot grant reductions to students and doctoral candidates for the full package. Transportation services from Taipei’s Taoyuan International Airport to Hotel Formosa will be available at 12:00 and 18:00 on 17 June and you should inform the organizers of their  flight numbers and arrival times by emailing Fiona Chang (cesnur2018.tw@gmail.com) before June 12. Accompanying persons should register at the full fee.

** Option available only to those who indicate the person with whom they would share a double room

                    Method of Payment

a) Credit Card
Type of Card     VISA MasterCard EuroCard
Here are the details of my credit card for immediate on-line registration:
   Name on Card (print)
   Number
01 02 03 04 05 06 07 08 09 10 11 12 2018 2019 202020212022 2023 2024 Expiration Date
01 02 03 04 05 06 07 08 09 10 11 12 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Birthdate (mandatory: month-day-year)

Signature (not needed for online registration):_____________________________

 

I will mail the details of my card with a printed and signed copy of this form

b) I prefer not to use a credit card and am sending a printed and signed copy of this form with details of my bank draft. (Note that we should receive the amount net of any bank fees charged by your bank.)

If you choose option (a) but do not register online, please mail a scan of the registration form (including details of your credit card) to cesnur_to@virgilio.it

If you select option (b) please mail or fax forms to CESNUR, and send bank drafts to CESNUR PIEMONTE as follows
Name of bank: Deutsche Bank, Via Viotti 4/D, 10141 Torino, Italy
Account number: 033719
ABI Code: 03104
CAB Code: 01000
IBAN: IT36S0310401000000000033719
SWIFT CODE: DEUT IT MM TOR

 

 

Preliminary Program