REGISTRATION FEES (All Payments Are in Euro)

REGISTRATION FORM the International Scientific Conference «The role of science in the development of society» October 27-29, 2011

Please send this form to Email: [email protected] Website: http://in-konf.tambov-konfcentr.ru

Last Name (presenting author) First Name (presenting author) Degree (presenting author) Country, city, zip, street (presenting author) Last Name (accompanying persons) First Name (accompanying persons) Degree (accompanying persons) Institution № VAT (for the countries of the European union) Form of participation (direct participation or absentee participation) Address to send the book (if absentee participation) Presentation (oral presentations (only in English) or poster sessions (In English and Russian))

Theme section to conferences Number of acquired journals Mailing address (work) Articles Text of Abstract (max 50 words) How did you know about the conference REGISTRATION FEES (All payments are in Euro) Representatives universities, research institutes, project institutes and the companies: Till …….: 150 Euro …………………………  After …: ....180 Euro ………………………… Registration fee for graduate students, masters and students (Note: students taking distance learning, correspondence or other similar courses are not eligible): 100 Euro ……………………………………..  Graduate students, masters and students can take only one accompanying person to the conference. Accompanying persons are free of charge For participation with the second report: +80 Euro ………………………………………………..... Publication costs of each additional page (more than 5): +20 euro per page………………………….

Number of additional pages

Write the sum for additional pages, please

The cost of CD with the author's publication is 10 euro………………………………. The cost of additional copies of the journal Science Prospects is 15 euro……….

Number of additional copies of the journal Science Prospects

Write the sum for additional copies of the journal Science Prospects, please

The cost of shipping the publication to the neighboring countries (CIS) (with absentee participation) is 10 euro……….

The cost of shipping the publication at the foreign countries (with absentee participation) is 15 euro…………………....

Total Method payment  Bank Transfer;  Western Union

Payment information: Date: Document number: Amount (in euros): Name of payer (the one who entered into the payment order): Place of work:

WWW: Skype: Mobile:

Email 1: Email 2:

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Invoices: To receive an invoice you need to provide the following information: If the bank transfer is ordered by a natural person: the person's full name, and full address. If the bank transfer is ordered by a company or organisation: legal name of the organisation, address, VAT number or identification code, name of recipient of the invoice and full address. Invoices will be sent in PDF format by email. As they have a signature and a stamp in full colour, you need a high-quality printer to print out the original. Note: If the bank transfer is ordered by a natural person, it is not possible to issue an invoice to a company or organisation. Fill the information for reception the invoice: Please send us your registration form in a file signed after the participant in the conference in English, for example ivanov.doc.

For More Information:

Contact phone: +7-4752-638780 +7-4752-711418 +7-920-2354000 +7-920-2322514 Fax: +7-4752-638780 E-mail: [email protected] Website: http://in-konf.tambov-konfcentr.ru

Please send this form to Email: [email protected]