International Workshop on Plasma Facing Materials and Components (PFMC)

11 . -14. May 2009

Registration

Title * Ms Mr Dr Prof
Family Name *
First Name(s) *
Affiliation
P.O. Box or Street Address *
Postal Code *
City *
Country *
Phone *
Fax
Email *
Comments

Participation tutorial course * Yes No
VISA application support Yes No
Participation to banquet * I will attend
I will attend with an accompanied person
(extra cost: 50,- EUR)
I will NOT attend
Participation to lab tour * none
TEXTOR tour
JUDITH tour

Fees

 Until April 30After March 20
Full fee250 EUR 300 EUR
Student fee
(Only for full-time students)
150 EUR200 EUR

Fee: * 300 EUR (full fee)
200 EUR (student fee)

The total fee will be paid by: * bank transfer to:

Sparkasse Düren

Account no. 6569
Forschungszentrum Jülich GmbH, Wilhem-Johnen-Straße, 52428 Jülich, Germany
National bank code: 395 501 10 (from Germany)
International swift code: SD UE DE 33 (Other Countries)
IBAN: DE13 3955 0110 0000 006569

Reference: PFMC and participant's name

VAT-Nr.: DE122 624 631

credit card
Fill in  this form and fax it to
+49 2461 61 8108



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letzte Änderung 04.12.2008 | | Ausdrucken