CASC 2010 Registration Form

(This registration form has to be filled out for each individual participant!)

Male/Female:
(mandatory)

Mr. Ms.

Title:

Dr. Prof.

First name:
(mandatory)

Last name:
(mandatory)

Citizenship:
(mandatory)

Affiliation:
(mandatory)

E-mail:
(mandatory)

Phone:
(mandatory)

Fax:

Address:
(mandatory)

Arrival/
Departure:
(mandatory)

I will arrive in Yerevan on and leave from Yerevan on

Conference
fee:
(mandatory)

The registration fee covers attendance of the talks, the proceedings, conference material, refreshments
at the conference, the banquet, and the excursion.
Also included in the conference fee is the accommodation/hotel for the period from September 7, 2010
through September 11, 2010 in Tsakhkadzor (4 nights, incl. breakfast and lunch) and for
one night (September 11/12) in Yerevan.

Mark early/late registration and enter requested changes to the default below.

Early registration	Late registration
(no longer available)	(after August 1, 2010)
	600 EUR

Unlike the default, I need the following additional overnight stays in Yerevan (65 EUR):
September 5/6, 2010
September 6/7, 2010
September 12/13, 2010

Unlike the default, I do not need the following overnight stay in Yerevan (-65 EUR):
September 11/12, 2010

Unlike the default, I need the following additional overnight stays in Tsakhkadzor (35 EUR):
September 11/12, 2010

If you have accommodation requests not covered above, please include them in the field Remarks/Notes below.

Total registration fee (EUR):

Payment:

Payment by bank transfer (preferred method)

I shall pay in cash at the conference (mainly for Russian participants)

All payments must be made in Euro (EUR).

Please do not forget to add all applicable bank fees so that the due amount is received.

Bank transfer

Bank account information:

Owner:	Staatsoberkasse Landshut
Bank:	Bayerische Landesbank München Girozentrale
Account No:	24 866
Bank code (BLZ):	700 500 00
SWIFT code:	bylademm
IBAN:	DE 10700500000000024866
Reason of payment:	0002.0157.2850 (this number is very important!!) your name CASC 2010

Remarks / Notes: