13th ESP 2009 - Wroclaw, Poland, September 5/10, 2009

Registration

Please fill in and submit this form. To facilitate communication you are kindly requested to fill as many fields as possible. Please take into account that the registration process will not proceed if at least the fields with an asterisk have not been filled. To move from field to field use the Tab Key or the mouse, NOT the Return key.


*Last (Family) name: 
*First (Given) name: 
Middle name: 
Department: 
Institution: 
*Address: 
*City: 
*Country: 
*Postal Code: 
Phone: 
Fax: 
*E-mail: 

Congress registration fees (in Euro)

Please check appropriate boxes

 
Before
8 June
2009
Before
15 August
2009
On-site
- - 550
- - 400
- - 250
- - 750
€ 15 per person/s
€ 45 per person/s
  1. Students: Certification letter required.
  2. For non-ESP members: You may apply for ESP membership at the ESP website.
  3. The fee for accompanying persons includes the participation at the Welcome Reception (Saturday 5 September, evening). The other activities of the social programme for accompanying persons (reported in the General Information page) are to be paid separately on site and reserved on arrival.

ASP members are entitled to pay the same reduced registration fees as ESP members (please include proof of ASP membership).

Pre-registration must be accompanied by a payment; otherwise it will not be processed. In all other cases the on-site registration fee will be taken as a basis. Requests for refunds must be made in writing to the ESP Treasurer, address as below. There will be a EUR 25 fee for any registration cancellation. NO REFUNDS HONOURED AFTER 15 AUGUST 2009.


Registration dues may be paid by the following methods. Please check the one you intend to use:

   Credit card
Please download and fill in Credit Card payments form, print and send it by mail or fax to the ESP Treasurer Francesco Ghetti (full address on the form). Please note the cards that can be accepted and ensure that you fill in all details and sign the form.
   Bank order
Please transfer the funds using the following bank details:
Banca Monte dei Paschi di Siena, Pisa Ag. 5 Branch, Via Borgo Stretto 40, 56127 Pisa, Italy
IBAN: IT 65 P 01030 14006 000000211788
BIC/SWIFT: PASCITM1Y68
ESP European Society for Photobiology
account number 0000002117.88
You must ensure that the bank includes your name and address so that the source of the payment can be easily identified. Please send a copy of the bank transfer to Francesco Ghetti (address below).
   Cheque
Cheques should be made payable to the " ESP European Society for Photobiology " and sent to Francesco Ghetti (address below). (Please add 3 EUR to partially cover bank charges).

All correspondence to:
Francesco Ghetti, ESP Treasurer
CNR Istituto di Biofisica, Area della Ricerca di Pisa, Via G. Moruzzi 1, 56100 Pisa, Italy
E-mail: francesco.ghetti@pi.ibf.cnr.it
Telephone: +39 050 3152764, Fax: +39 050 3152760


To register, please press Submit Form: 

To clear the form and start over, please press Clear: