Obligatory Registration Form
River Basin and Flood Risk Management 2015
and Hydrology days 2015
Joint Event of Science with international participation
under the auspices of the Minister of Environment of the SlovakRepublic
Congress centre of Družba Campus
6 – 8October 2015
One form is for one person only. In case there are more persons, copy the form, please.
Conference fee for 1 participant is 150, - €; for students and postgraduate students 75 €.
Name, surname, titles:Name of company:
Address of company:
Phone:
Cell phone:
E-mail:
Participation in the excursion –visit of Modra flood protection system on08October 2015 / yes / no
If you want to promote your company, circle the presentation type:
1.placing the company logo in the electronic version of the conference proceedings + the panel near the conference room / 100,- € / yes no2.placing the company logo in the electronic version of the conference proceedings + thetable near the conference room / 150,-€ / yes no
3.placing the company logo in the electronic version of the conference proceedings + presentation of the company lasting 10 minutes maximum / 150,-€ / yes no
4.placing the company logo in the electronic version of the conference proceedings + inclusion of the company promotion material in the conference materials / 150,-€ / yes no
This form with the notice of bank transfer shall be sentnot later than 18September 2015
by post to the following address:Water Research Institute
Mgr. Tatiana Šimková
Nábrežie arm. gen. L. Svobodu 5, 812 49 Bratislava
or by fax:+421 – 2 – 54 41 63 34
or e-mail:
Notice of bank transfer
River Basin and Flood Risk Management 2015
and Hydrology days 2015
Trade name of the organization:
......
(proper name without abbreviations)
Proper address: ......
......
Bank connection: ...... Account number: ......
Company registration no.: ...... Tax registration no.: ......
We confirm the payment for conference fee for the number of persons: ...... in the amount in total ...... €.
We confirm the payment forthe company presentation in the amount in total ...... €.
Account number: 11466172/0900 inSlovenská sporiteľna
Variable symbol: 06102015
Constant symbol: 0308
IBAN: SK 9209000000000011466172
SWIFT CODE: GIBASKBX
CompanyName:Slovenská vodohospodárska spoločnosť
Koceľova 15, 815 94 Bratislava
registration no.: 30807662 Tax registration no.: 5020021402
Obligatory form (names of persons for whom the payment is made):
Name, surname, title: ......
......
......
Date, sealand the signature of the representative
of economic department of the organizationsending aparticipant ......
In the payment order (in the report for beneficiary) please state the name of company and name/s of participants for whom the payment was made. Please, fill in the notice of bank transfer properly and completely because it identifies your payment.
Deadline: 18September 2015
Registration form becomes valid only with the notice of bank transfer receipt.