UNIVERSIDAD DEL PAÍS VASCO

EUSKAL HERRIKO UNIBERTSITATEA

UDA IKASTAROAK / CURSOS DE VERANO

CLIMATE CHANGE: UNDERSTANDING THE CHALLENGE

Miramar Palace, San Sebastián

2014, July 14th – July 16th

PERSONAL DETAILS

First Name / Last Name
Organization / Position
Address
City Code / City / State / Province
Country / Nationality / Passport number
Phone / E-mail

REGISTRATION FEE

/ Summer School Fee: The registration and payment should be done between the specified dates in order to apply the appropriate fee.
  • From April 1st to April 30th 90€
  • From May 1st to May 31st 105€
  • From June 1st to July 4th 125€

* Additional 5€ will have to be paid for management for each accommodation reservation

Other alternatives in hotels are available through the Travel Agency:

Viajes Mundo Tres
Plaza del Buen Pastor, 7
20005 SAN SEBASTIAN / Tel. 00 34 943 43 05 69
Fax 00 34 943 43 10 69

REGISTRATION GUIDELINES

  1. Please fill the form in CAPITAL LETTERS
  1. If you need accommodation for your stay, you could also book it filling the section“ACCOMMODATION RESERVATION”. You will be charged 5€ (as administration fee) per reservation.
  1. Payments:
  2. If you are paying by credit card, please provide the credit card number and expiration date.
  3. If you are paying bybank transfer, please attach the bank voucher with the payment receipt, otherwise your reservation won’t be processed. If you are booking the accommodation through the Summer Courses Office, don’t forget to pay the additional 5€ for the accommodation reservation management.
  1. Once you fill the form, please send it to . If you are paying by bank transfer, please send the bank voucher with the payment information, otherwise, your registration won’t be processed.

RETURN TO:

Registration will be formalized by sending registration form (and transfer voucher) to:

Secretaría de los Cursos – Summer Courses Office
Apdo. 1042 Post Box
20080 DONOSTIA – SAN SEBASTIÁNTel.:00 34 943 21 95 11
(GIPUZKOA)Fax: 00 34 943 21 95 98

CANCELLATIONS

-Registration cancellation: The form to cancel your registration will have to be addressed to Summer Courses Secretariat () at least 15 days before the beginning of the course. The Registration fee will be reimbursed except for 10€ as administration expenses.

-Accommodation cancellation: The form to cancel your accommodation reservation will have to be addressed to Summer Courses Secretariat () at least 8 days before the beginning of the course. The Registration fee will be reimbursed except for 2,5€ as administration expenses.

ACCOMMODATION RESERVATION

Accommodation of your choice
Number of nights / Number of people / Arrival date / Departure date

PAYMENT

You can pay your registration fee with a credit card, or you can pay the registration fee via bank transfer. Bank charges are the responsibility of the payee and are to be paid at source in addition to the registration fee. If you are paying by bank transfer, please send the scanned bank voucher with the registration form.

If you are booking the accommodation through the Summer Courses Office, you will have to pay the accommodation cost and the reservation fee (5€) additionally to the registration fee.

Please choose the payment method:

I authorize my expenses to be charged to the aforementioned credit card.
VISA / American Express / Mastercard / Others
Credit Card Number / Expiration date

* The total amount of the registration will be charged on the credit card during the next7 days.

Bank transfer (Please enclose the proof of transfer (Bank voucher) to Summer Courses Office)

Bank: Banco Bilbao Vizcaya Argentaria

IBAN: ES95 0182 5709 48 0010010034 / SWIFT: BBVA ESMMXXX

Account holder: Fundación Cursos de Verano City: San Sebastián (Spain)

RECEIPT

Summer Courses Organization will send a receipt. If you need this receipt to be made payable to another person or institution, please, fill the following information.

Name / Institution
Address
City code / City / State / Province
Tel. / E-mail / Passport number

DAY LIMIT:SIGNATURE

Starting on 1st of April until the 4thof July

In compliance with the duty of information stated in art. 5 of the Personal Data Protection Act 15/1999, of 13 December, we would like to notify you that your personal details will be recorded on the Fundación Cursos de Verano file [Summer Courses Foundation] which is the title and responsible party for this file. The purpose of this file is to organise the courses and manage the administrative activities derived from your relationship with us. If you wish, you may exercise your right to access, correction, opposition and/or cancellation of this data, according to the provisions established in current legislation, by writing to Fundación Cursos de Verano, Paseo de Miraconcha nº 48 (Palacio Miramar), San Sebastian, 20007 (Gipuzkoa) or by sending an e-mail to: