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4 th International and Interdisciplinary Symposium Cultural Landscapes in Rural and Urban Areas: The Integration of Past, Present, and Future in Spatial Planning and Land Management Policies 4 th -6 th September 2014 University of Agriculture in Kraków, Faculty of Environmental Engineering and Land Surveying, Poland Registration Form Please return this form by e-mail at your earliest convenience, but no later than 22 nd August 2014 to: Dr.hab. inż. Józef Hernik University of Agriculture in Kraków Department of Land Management and Landscape Architecture ul. Balicka 253c 30-149 Kraków, Poland E-mail:rmhernik@cyf- kr.edu.pl Title: First Name Last Name: Institution: Street: ZIP Code: City: Country: Phone: (Mobile): e-mail: Registration Fee: (includes refreshment and lunch) Price per Person Number of Persons Amount 90 € for PhD Students only: 70 € Conference Dinner: Price per Person Number of Persons Amount 35 € Excursion: Price per Person Number of Persons Amount 20 € TOTAL AMOUNT

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4th International and Interdisciplinary Symposium

Cultural Landscapes in Rural and Urban Areas:The Integration of Past, Present, and Future in Spatial Planning and Land Management Policies4th-6th September 2014University of Agriculture in Kraków, Faculty of Environmental Engineering and Land Surveying, Poland

Registration Form

Please return this form by e-mail at your earliest convenience, but no later than 22nd August 2014 to:

Dr.hab. inż. Józef HernikUniversity of Agriculture in KrakówDepartment of Land Management and Landscape Architectureul. Balicka 253c30-149 Kraków, Poland

E-mail:[email protected]

Title: First Name Last Name:

Institution:

Street:

ZIP Code: City: Country:

Phone: (Mobile): e-mail:

Registration Fee:(includes refreshment and lunch)

Price per Person Number of Persons Amount €90 €

for PhD Students only:70 €

Conference Dinner: Price per Person Number of Persons Amount €35 €

Excursion: Price per Person Number of Persons Amount €20 €

TOTAL AMOUNT €

Payment Modality

Unfortunately payment by credit card will be not accepted. Payment options: - In cash upon arrival or - To make a Bank Transfer to:

Zürcher Kantonalbank, Postfach, 8010 Zürich, SwitzerlandIBAN: CH41 0070 0130 0082 4652 1, BIC(SWIFT): ZKBKCHZZ80AAccount holder: EALD/BGS Geschäftsstelle, ZHAW-IUNR Bodenoekologie, Gruental, 8820 Wädenswil, Switzerland

Date: Name: