Registration 02

CALL&CLIL 2019 Registration form 02 for non-presenting participants:

Fill in the following form:

Participant´s full name(s): *
Title (Mr./Ms./Dr./Prof., etc.): *
E-mail *
Invoice data (incl. name/institution, full address, ID and VAT numbers): *

The full shipping address for sending conference materials (if different form the contact address):

Full contact address - if different from invoice address where notification letter should be addressed to:

Type of registration (conference fees are distinguished between early payments on or before May 31st, 2017 (included) / payments after May 31st, 2017): *	E: full (3 day) fee for not-presenting participants (180/210 EUR) F: reduced (2-day) fee for not-presenting participants (150/180 EUR) G: reduced (1-day) fee for not-presenting participants (110/140 EUR)
Extra requirements considering refreshments and social events (special technical support, special seating conditions or special transportation requirements, special food, etc.): *

I agree with the following to appear in the conference materials, conference publications and the conference website:	my full name my affiliation my e-mail my photos
I agree to the processing of my personal data acquired in this form by SlovakEdu. I am aware that my personal data will be processed exclusively for the purposes of organising the conference, corresponding and publishing the conference publications. *	I agree.

SlovakEdu OZ SlovakEdu
Štefánikova 9
949 01 Nitra
SLOVAKIA

IČO: 42118735
DIČ: 2022565633
+421 948 632253 office@slovakedu.sk