Registration

First name
Name
Affiliation
Address
ZIP/Town   /  
Country

E-Mail
I agree on the publication of the above information on the list of participants
Fees
Regular fee (95 Euro, including federal tax)
Reduced fee for students (60 Euro, including federal tax)
Dinner
Participation joint dinner March 9th, 2011 (on own expenses) - PLEASE NOTE: The maximum number of participants is reached - making your tick here will bring you on the waiting list
Participation joint dinner March 10th, 2011 (on own expenses) - PLEASE NOTE: The maximum number of participants is reached - making your tick here will bring you on the waiting list
Herewith I register for the GeoViz_Hamburg 2011:

Please transfer your fee (includes 19% federal tax) to:

within Germany:
Empfänger: HafenCity Universität Hamburg
BLZ: 200 000 00 (Deutsche Bundesbank)
Nr. 20001564
Verwendungszweck: Name, Vorname, GeoViz2011

international:
Remittee: HafenCity Universität Hamburg (Hebebrandstr. 1, 22297 Hamburg, Germany)
Bank: Deutsche Bundesbank Hamburg (Willy-Brandt-Str. 73, 20459 Hamburg, Germany)
IBAN: DE552 000 000 000 2000 1564
SWIFT Code: MARKDEF1200
Subject: Name, Prename, GeoViz2011