CESNUR - center for studies on new religions

CESNUR 2018 Seminar – Bishkek, 19-20 March 2018

REGISTRATION FORM

 

    Name (Last, First)
    Organization
    Street Address
    City
    State
    Country
    Zip or Postal Code

    Telephone
    Fax

    E-Mail
    Address



    Fees (in Euros): 

Conference Package (including conference, snacks, lunches, banquet and field trip) € 125
          
Package excluding field trip for participants from Central Asia and Iran € 20

Please indicate your preference for vegetarian meals, if any
Vegetarian

                    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
Expiration Date
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.)

c) I am a participant from Central Asia and Iran and will register at the door.



If you choose option (a) but do not register online, please fax or mail registration forms (including details of your credit card) to:
CESNUR
Via Confienza 19
10121 Torino, Italy
Fax: +39-011-541905

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 Programme


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