<p> IMEKO joint 17th TC - 4 and 3rd TC - 19 Symposium and 15th IWADC September 8 – 10, 2010, Košice, Slovakia</p><p>REGISTRATION FORM</p><p>Return this form together with a copy of bank receipt by email: [email protected] or by fax to +421 - 556 323 989</p><p>TO ENSURE PAPER PUBLICATION, AUTHORS MUST REGISTER AND PERFORME PAYMENT BEFORE JULY 15 th , 2010</p><p>Paper ID(s) </p><p>Last Name: First Name: </p><p>Affiliation: </p><p>City: Zip Code: </p><p>Country: E – mail: </p><p>Phone: Fax: </p><p>Name on Badge </p><p>Receipt in Name of: </p><p>Accompanying Person Name </p><p>Early registration Late registration fee Special session: partnership forming round Registration fee before June June 19th to July 15th, table and networking event in Tokaj region Fees 18th, 2010 2010 *** Regular Є330 Є360 Є60 Participant</p><p>Student* Є150 Є190 Є60 </p><p>Accompanying Є150 Є190 Є60 Person Extra Paper (Є Qty: 30/paper)** </p><p>Total amount: Є Registration after July 15th must be on site and subject to availability and without paper publication. Special session: partnership forming round table and networking event in Tokaj region must be registered in advance. * Students are required to fax a certificate of studentship. ** One author registration will guarantee publication of up to two accepted papers, the Book of Abstracts, the electronic Symposium and Workshop proceedings (full text of the accepted papers) and the access to all event sessions. Each additional accepted paper with the same registration requires the additional payment of € 30 per paper. *** This special session is not included in any conference fee and must be booked in advance within early or late registration. On-site booking of the session will not be possible. The fee will cover transportation from Kosice to the place where the session will be held and back. The participants will be entitled for lunch and all activities related to the session.</p><p>All participants are welcome at the Reception Party and are entitled for lunches. The regular participants and accompanying persons are offered entrance to the conference banquet. A cultural and tourist program will be organized for accompanying persons.</p><p>Payment bank transfer (the operation must be free charges for the beneficiary) Beneficiary: Technicka univerzita v Kosiciach Beneficiary’s address: Letna 9, 042 00 Kosice, Slovakia IBAN: SK82 8180 0000 0070 0015 1433 BIC (SWIFT code): SUBASKBX Bank’s name and address: Statna pokladnica, Radlinskeho 32, 81005 Bratislava, Slovakia Please specify “IMEKO+ participant’s family and first names + paper IDs” A copy of the bank receipt must be mailed or faxed together with this form.</p>