<p> GLASS SCIENCE IN ART AND CONSERVATION</p><p>Valencia, 05-07 March 2008 REGISTRATION FORM</p><p>It is required to fill in all the fields in CAPITAL LETTERS and to send this document to: Viajes El Corte Inglés, S.A. División Congresos Gran Vía Fernando el Católico, 3-bajo – 46008 VALENCIA – Tel 34 963 107 189 – Fax 34 963 411 046 – E-mail: [email protected]</p><p>FULL NAME: </p><p>COMPANY NAME: </p><p>POSTAL ADDRESS: </p><p>CITY: COUNTRY: POSTAL CODE:</p><p>PHONE: FAX: E-MAIL:</p><p>REGISTRATION FEES</p><p>Before 30/01/2008 From 31/01/2008 FULL REGISTRATION 250 € 300 € STUDENT REGISTRATION 150 € 175 € ACCOMPANYING PERSON (*) 250 € 275 €</p><p>. Prices given with VAT included. . Registration will close on 23/02/2008. . In the case of cancellation after 15/02/2008, no refunds will be given. . Registration fees include: Attendance to the Scientific Acts of the Conference, Coffee Breaks and work Lunches included in the final program, Opening Act, Closing Dinner, Conference documentation and tourist tour of Valencia. . Accompanying person fees include: March 5, guided visit to the Albufera Nature Reserve, boat trip and lunch. March 6, guided visit to the Oceanografic and lunch. March 6, Closing Dinner. (*) Subject to 15 people minimum PAYMENT</p><p>A / BANK TRANSFER: TO: VIAJES EL CORTE INGLÉS S.A. Avda. de Cantabria, 51; 28042 Madrid. V.A.T Number: ESA28229813 From Spain: Banco Santander Central Hispano – Nº 0049 1500 03 2810355229 From Abroad: Banco Bilbao Vizcaya Argentaria I.B.A.N.: ES97 0182 3999 3702 0066 4662 SWIFT: BBVAESMMXXX</p><p>I send enclose the transference copy for the amount of ……………….. Euros, for my faclities fee (A copy of the transfer document must be attached) B / CREDIT CARD: Card Holder: </p><p>Card Number (VISA or MASTER CARD): Expiry Date: CCV2 (Card Verification Value 2 is three digit code printed on the back of your credit card):</p><p>I authorise the charge of ………………….Euros on my credit card for my facilities fee.</p><p>By sending this document, I hereby accept the conditions stated herein.</p><p>Signed : ………………………………………………………..… ID Number .…………………………………….</p><p>The personal information included in this document is confidential. In accordance with the Organic Law 15/1999, of 13 December, the holder of this information will able to exercise his/her rights to access, rectify, and cancel it by requesting to do so, in writing to VIAJES EL CORTE INGLÉS, S.A. Servicios Centrales-Dpto. de Organización y Métodos; Avda. de Cantabria, 51; 28042 Madrid”. If you need an invoice, inform us about your fiscal data (ID number, postal address ….) using the “invoice request”</p>