8th European Workshop on Thermoelectrics of European Thermoelectric Society Kraków, Poland 15 - 17 September 2004 University of Science and Technology AGH e-mail: ets2004@galaxy.uci.agh.edu.pl ********************************************************************** REGISTRATION FORM ================= CONTACT DETAILS --------------- TITLE: FAMILY NAME: FORENAME(S): MALE / FEMALE AFFILIATION: POSTAL ADDRESS: POSTCODE / ZIPCODE: COUNTRY: TELEPHONE: FAX: EMAIL: Please indicate the preferred name that should appear on your name badge, if different from that detailed above. NAME: * * * PRESENTATIONS ------------- NUMBER OF PRESENTATIONS: PREFERRED FORM OF PRESENTATION >> POSTER: ORAL: * * * ACCOMPANYING PERSONS -------------------- Accompanying persons payment includes attendance at the coffee breaks & lunches and all the social events. Please make any bookings for accompanying person below, detailing their name. NAME : MALE / FEMALE * * * SPECIAL REQUIRMENTS ------------------- Please Indicate if you have any special requirements. > * * * SUMMARY OF CHARGES ------------------ The conference fee includes attendance at all conference sessions and all social events. It also includes a copy of the Book of abstracts, Proceedings and the delegate pack. In case of accompanying person Book of abstracts, Proceedings and the delegate pack are NOT included. REGULAR PARTICIPANT BEFORE 30th May 220 EUR > STUDENTS BEFORE 30th May 150 EUR > ACCOMPANYING PERSONS BEFORE 30th May 170 EUR > AFTER 30 MAY PLEASE ADD 50 EUR CHARGE PER PERSON ********************************************************************* * * *