. Barcelona, 4-6 September
Barcelona, 4-6 September
REGISTRATION FORM
- Fill in the Registration Form- E-mail to: [email protected]
Title/ Degree Family Name First Name/ Given Name
Address City
Region/ Province/ State Zip/ Code Country
Telephone Mobile
E-mail (Mandatory - All Symposium information will be sent via e-mail)
Institution/ Organization Department
Areas of interest in MedPalyno 2017 Aerobiology
Melissopalynology
Paleopalynology
Pollen morphology, biology and biochemistry
Topics on Applied Palynology
Registration Fee
Fee
Members* € 325
Non Members € 350
Students# € 275
* Members of APLE- GPPSBI- APLF# Students must upload a copy of a valid student card or a letter certifying their status.
The Registration fee gives right to access all scientific sessions and includes Symposium documents, name badge and the coffee breaks and lunches.
We are trying to apply a sustainable and responsible ethics to the food consumption. Please, help us and indicate which lunches and coffee breaks you are planning to attend in the Symposium.
September, 4th September, 5th September, 6th
Coffee Coffee Coffee
Lunch Lunch
Mediterranean Palynology 2017 Symposium Barcelona, 4-6 Septemberwww.medpalyno2017.wordpress.com
ACCOMMODATION FORM
LAST AVAILABLE ROOMS
HOTELS DOUBLE USE SINGLE DOUBLE TWIN
1- HOTEL DERBY**** 105.-€ 120.-€ 2- HOTEL ASTORIA*** 135.-€ 150.-€ 3- No, Thanks
PRICE PER NIGHT INCLUDING BREAKFAST AND 10% VATPrice valid from 3 to 6 September 2017.
Arrival: September/2017 Departure: September/2017
Price: € X Nights = Total Amount
NOTEPlease note that the hotel availability may be exhausted. Sell out rates are subject to availability. Due to other international events in Barcelona at the same time, EARLY BOOKING IS RECOMMENDED.
Cancellation PolicyNotification of cancellation must be sent to Standing Tours at [email protected].
An amount equal to 80% of the fee paid will be refunded for cancellations received by July 15. All approved refunds will be processed and issued 30 days after the Symposium.
September
Mediterranean Palynology 2017 Symposium Barcelona, 4-6 Septemberwww.medpalyno2017.wordpress.com
MedPalyno 2017 SymposiumUPF Barcelona School of ManagementCarrer Balmes 132-134, 08008, Barcelona
PAYMENT
Payment of registration fees (in EUR) can be made as follows:
CREDIT CARD VISA MASTERCARD AMEX
Credit card number:
Expiry date: MONTH/YEAR: CVV/Security Code:
*CVV are the last 3 digits in the back of your credit card
Cardholder’s name (as appearing in the card):
Registration fee €
Accommodation €
Total amount €
Authorize the charge of € on my credit card
BANK TRANSFER
Please transfer the payment to STANDING TOURS, S.A.BANCO POPULARIBAN ES92 0075 0122 0906 0687 9411 – SWIFT/BIC: POPUESMM
Note: This payment form should clearly state the name(s) of the delegate(s) and should clearly state “MedPalyno 2017”
Please enclose herewith a copy of the bank receipt
Technical Secretary E-mail: [email protected]: +34 - 93 208 14 40
Mediterranean Palynology 2017 Symposium Barcelona, 4-6 Septemberwww.medpalyno2017.wordpress.com