Registration Form
 

Please complete the form and press the SUBMIT button. A confirmation e-mail will be then sent to you. All fields marked by an asterisk (*) must be filled in.

PERSONAL INFORMATION:
Title
First Name*
Name*
Affiliation*
Postal Address*
Zip Code / City*  /
Country*
Affiliation for badge*
(in English)
E-mail*
Phone
Fax
NIP of the delegating institution
(for Polish participants only)
  Vegetarian diet
PAYMENT INFORMATION:
REGISTRATION FEE:
 regular (early / late) (1000 / 1250 PLN)
 student's (early / late)
(for participants who on day of their registration
are less than 27 years old)		 (750 / 950 PLN)
 
ADDITIONAL PAYMENT
  Workshop dinner for an accompanying person (120 PLN)
-----------------
TOTAL PAYMENT (PLN):   
early – before October 10, 2016
late – after October 10, 2016
PAYMENT METHOD:

bank transfer to the account:
Accountholder:
Bank:		 ACK CYFRONET AGH
Pekao SA
ul. Pijarska 1, 31-015 Krakow, Poland
Account No:
SWIFT:
Transfer Name:		 PL 11 1240 4722 1111 0000 4849 0168
PKOPPLPW
CGW16

Bank charges are to be covered by the payer.
Please mention clearly your name on the payment order.

Please check carefully the information you entered.
Click on SUBMIT to proceed with your registration. Click on RESET to clear the form and start again.