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Vth International Symposium on Wild Fauna (22-27 September 2007, Chalkidiki, Greece) Registration form Vth International Symposium on Wild Fauna Symposium Secretariat Faculty of Veterinary Medicine, 224 Trikalon st, Karditsa, GREECE, 43100 Tel : +30 24410 66058 - Fax : +30 24410 66092 email : [email protected] http://www.vet.uth.gr/english/vwf Office use Only Date received: Participant N°: Amount : date : DELEGATE / PARTICIPANT: Title: Family name : First name: Institution: Postal address: City: Tel: Prof. Dr. Mr. Postal Code: Fax: Ms. Country: Email: Deadline for abstracts: June 30th 2007 CONFERENCE REGISTRATION: Presenting paper: The title of my paper: Mrs. Oral Poster No ACCOMPANYING PERSON: Title: Family name : First name: Prof. REGISTRATION FEES: WAVES members Non WAVES members Student rate Accompanying person Dr. Reduced fare: (Before 06/30/07) EUR 220 EUR 270 EUR 100 EUR 170 Mr. Mrs. Full fare: (After 06/30/07) EUR 300 EUR 350 EUR 120 EUR 230 Ms. OTHER FEES: Registered participant: Accompanying person: Welcome Dinner Will participate Will participate (09/22/2007) (free of charge) (free of charge) Conference Dinner One person EUR 70 One person EUR 70 (09/23/2007) Greek Night Will participate Will participate (09/25/2007) (free of charge) (free of charge) Excursion to Kerkini Lake One person EUR 45 One person EUR 45 and Greek Traditional Dinner (09/26/2007) Excursion to Vergina One person EUR 45 One person EUR 45 archaeological site (the capital of ancient Macedonia, birthplace of Alexander the Great) and Dinner (09/27/2007) A social program (which will be announced later) will be available for accompanying persons free of charge. TOTAL FEES (registration + social events): EUR PAYMENT: Bank Transfer Credit Card (please fax corresponding form directly to the symposium secretariat) PAYMENT INFORMATION: By bank transfer Payment payable to: Research Committee, University of Thessaly Bank Name : ALPHA BANK IBAN : GR64 0140 3100 3100 0200 2020 353 SWIFT : BIC CRBAGRAA By credit card – no online payment – Please fax corresponding form directly to the symposium secretariat. Please send receipt to the symposium secretariat Fax: +30 24410 66092 Participants must cover all banking fees Reference :"your name"