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| 1. Personal details |
| Title: |
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| Last name (Surname): |
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| Name: |
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| Gender: |
Female Male |
| Institution name: |
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| Address: |
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| Tel: |
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| Fax: |
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| E-mail: |
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| Are you vegetarian? |
Yes No |
| Will you have an accompany person who will not register? |
Yes No |
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| 2. Registration fees |
| (includes: conference bag, abstracts booklet, coffee breaks, excursion, lunch and dinner on Thursday and Friday, bus transfer to dinner on Thursday, access to all lectures and workshops, participation in the GO-exchange fair, participation in the ERASMUS poster design competition) |
| FEES: |
EAEC members: €250 Euro |
| EAEC Members (First speaker of accepted talk): €200 |
| Non EAEC Members: €350 |
| Non EAEC Members (First speaker of accepted talk): €300 |
| Accompanying persons: €150 |
| For the above I need an invoice issued to: |
my name |
| name of the institution mentioned above |
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| 3. GO-Exchange ERASMUS Educational Fair |
| I will represent my Institution at the Go-Exchange Educational Fair: |
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| Name of University |
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| Country |
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All material for the fair has to be sent by courier to the following address where it has to arrive between 26-28 June 2010. (please indicate zero value of material or no commercial value)
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| 4. ERASMUS Poster Competition |
| My institution intents to participate in the ERASMUS Poster competition with up to 2 entries and I will send before or bring with me at ERACON 2010 the printed original copies of the posters. I will also send or bring digital copies in a CD or DVD. The deadline for application for poster participation is 31 May 2010.
Send a completed application by email or fax by this deadline. No posters will be accepted on registration process of 1 and 2 July without a prior submission of application by the 31st of May 2010.
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| 5. Payment method |
| 1. Bank check (international) |
Make the check payable to: European Association of Erasmus Coordinators |
| 2. Money transfer to Bank Account |
Beneficiary name: European Association of Erasmus Coordinators
Account number: 0158-40-000106-48
IBAN: CY97 0020 0158 0000 0040 0001 0648
SWIFT: BCYPCY2N
Bank name: Bank of Cyprus
Indication: ERACON 2010 Registration Fees
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| All bank charges have to be fully covered by the participant/sender. |
| When payment is made send a copy of the bank receipt to the fax +357-22894483. |
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