Regional Studies Association Research Network

Transition and Resilience for Post-industrial Agglomerations in Central Europe: Diagnosis and evaluation

Seminar on identifying preconditions for successful evolutionary policy settings in Central European post-industrial areas

2nd July 2013, Ostrava, Czech Republic

Registration Form

Please complete the form below and submit it to and with an abstract (up to 500 words) before June, 1, 2013.

Name
Surname
Institution
Email address
Address
Telephone number

I.  Are you a current member of the RSA?

Yes RSA membership ID: _ _ _ _

Student member

Early Career member (within five years of receiving your PhD)

No, I am not a member

II.  If you are not a member, do you wish to find out about the Association

membership or join the Association ? (We can send you all the information that you need).

Yes

No

III.  Do you wish to present a paper at the seminar?

Yes Title of your paper: ______

No

I agree to pay a contribution fee of (please delete accordingly) £10[1]/ £50[2]/ £60[3] for the seminar. The fee will be paid:

in cash on the day of seminar

or

on the account number (IBAN) CZ6401000000000083239761

BIC/SWIFT code: KOMBCZPPXXX

Account holder: Nadační fond Karla Engliše

Name:

Signature:

Date:

[1] Fee applies to Student and Early Careers RSA Members from all bands as well as RSA members from Bands B, C and D

[2] Fee applies to Associate, Corporate and Individual Band A RSA members

[3] Fee applies to non RSA Members