Final Registration Form

FINAL REGISTRATION FORM International scientific conference on the occasion of the 50th anniversary of founding the Faculty of Mechanical Engineering Section No. 6 the 7th – 9th September 2005, VŠB-TU Ostrava - Poruba (Send best before 15th June 2005 !!! – deadline applications)

TOPICS Active appearance Welding Forming Materials and Surface Treatment Management of Engineering Enterprises

First name and family, titles:

Position:

Organisation:

Address, Post code:

Telephone/Fax

E-mail:

Conference fee (VAT 19% including) (Include: attendance at the section No 6, the proceedings in printed version, annotations of the section No 6, and proceedings in CD version, full papers of 2 200,- CZK the section No 6, buffet during action, lunch at cost 140 CZK and attendance at party). Advertising in printed proceedings - 1 page A4 (VAT 19% including) 3 000,- CZK Presentation of firm – exposition or orally (VAT 19% including) 5 000,- CZK Proceedings purchase - both version – of the section No 6 (VAT 5% incl.) 500,- CZK

Lunch (mark interest) 8th September 2005 9th September 2005 yes no yes no Mark interest Conference dinner yes no Accommodation on college VŠB- TUO (mark interest) 6th Sept. 2005 7th Sept. 2005 8th Sept. 2005 Individual room yes no yes no yes no yes no

Accommodation in hotels individually reserve by mentioned list of accommodations or by concrete request (college VŠB-TUO only). Accommodation fee pay cash in facilities. Other forms of the advertising and presentation are needed consult with organization guarantor. Additional requests:

Conference fee and additional (optional) pay during bank transfer best before 15th June 2005 Pleas attach statement of your account of the payment

Instructions to payment Parameters: conference fees: VŠB – TU Ostrava Address: 17. listopadu 15 708 33 Ostrava – Poruba Identified No: 619 89100 VAT No: CZ 619 89 100 Bank name: ČSOB Ostrava Bank address: Holarova 5, Ostrava 1 Zip Code: 702 00 Country: Czech Republic SWIFT Code: CEKOCZPP Account number: 127089559/0300 Variable symbol: 345505 IBAN: CZ23 0300 0000 0001 2708 9559 VSB - Technická univerzita Name of the account holder: Ostrava 17. listopadu 15, 708 33 Ostrava - Address of the account holder: Poruba, Czech Republic

Warning: By foreign payment during bank transfer must be bank charges to sender debit. In case absence can be alternate send wail keep conference fee. In case instruction of payment is need:

Ident. No and VAT No your firm.

Instruction of payment: yes no

Date and firm stamp:

Final application send best via e-mail.