Application to the 5th Slovenian geological congress

Mr, Mrs, Miss

Name

Surname

Company

Address

Street address

Post - Town

Zip code

Country

E-mail

Phone

Payment details

Kongress fee

Regular (300,00 €)

Regular without congress field trip (250,00 €)

Students** (120,00 €)

Students* without congress field trip (100,00 €)

Subsequent application for the congress excursion (60,00 €)

*Undergraduate or master students with enclosed proof of status.

Registration fee includes:

• ice breaker party on 2. 10. evening (Please select:
I will attend

will not attend
)
congress kit with printed abstract book,
coffee breaks,
lunch* on the first and the second day of the congress,
congress dinner* on the second day,
congress field trip on Friday.

*We kindly ask participants to indicate whether they will attend the congress dinner and special wishes regarding diet (vegetarian, vegan, allergies) in the Comments at the bottom of the form.

Accommodation costs are not included in the registration fee!

Selection of the congress field trip

On Friday 5th October 2018. Until all places will be filled. Included in registration fee.

E-1a

E-1b

E-1c

E-2

E-3

Will not attend

Please select your second choice in case all places are filled.

Application to post-congress field trip

Saturday to Monday 5th–8th October 2018. Not included in the registration fee!

Price (incl. VAT) is 250.00 €

I will attend

Will not attend

Upload abstract (undergraduate or master students should upload also proof of status)

All files should be uploaded at the same time.

Payment details

Payment can be made only by bank transfer.
Name of the Bank Account Holder: Geološki zavod Slovenije
Address of the Bank Account Holder: Dimičeva ulica 14, 1000 Ljubljana
Purpose of paymant: 5 SGK / Name and Surname of the participant
IBAN: SI56 0110 0603 0346 764
Reference: 1000 1000-2980039
Name of the Bank: Bank of Slovenia
BIC/SWIFT: BSLJSI2X

Payment is due to 15th June 2018.

Cancellations before 20th August 2018 will be refunded 50%, later cancellations are not eligible for a refund.

Invoice address

individual

payment for more persons from the same organization

Name and Surname

Company name (including VAT number)

Address

Street address

Post - Town

Zip Code

Country

Comments

Dear Sir or Madam, Thank you for sending the information. You will receive a confirmation of your registration within three days by e-mail to the email address you provided on the application form.

Dear Sir or Madam,
Thank you for sending the information. You will receive a confirmation of your registration within three days by e-mail to the email address you provided on the application form.