PERSONAL DATA

Title: Gender: Mr.   Ms.
First name: Affiliation (abbrev.): 
Last name:   Street address: 
e-mail: City: 
Phone/fax: Country: 
  I wish to give a talk  I intend to present a poster
  I wish to submit my paper to the special issue of Ferroelectrics

REGISTRATION FEES AND PAYMENT

On-site fee:   
Accompanying persons:  x Name(s): 
I require a VAT invoice: Invoice details: 

In the Invoice details box, please specify everything you need to be printed on your VAT invoice (institution address, VAT number etc.). If you do not need a VAT invoice please leave the box blank.


I will be sending the money by:     Cash at the conference desk

MISCELLANEOUS

Participants who need a visa to enter the Czech Republic should contact the Czech Embassy or Consulate.

 I will need a confirmation letter for the visa application procedure

Special requests (vegetarian food, disabled access etc.):