LMP 2019 Registration Form

Surname:

First Name:

Your academic title:

Institution/Affiliation:

Mailing Address:

Post Code:

Town:

Country:

VAT number (if applicable):

Invoicing Address (if different):

Phone:

E-mail:

Accompanying Person(s):

REGISTRATION FEE - SELECT PROPER OPTION(S):

Click here for all registration fee details

Participant
early: 8 750 CZK / regular: 9 100 CZK / onsite: 9 500 CZK
CZK (please fill in the amount):

Participant (student *)
early: 7 000 CZK / regular: 8 100 CZK / onsite: 9 500 CZK
CZK (please fill in the amount):

(*) Please attach a copy of your valid student’s ID if student’s fee applies and send it by email to: lmp2019@conferencepartners.cz

Additional contribution in proceedings
3 000 CZK
CZK (please fill in the amount):

I WILL ATTEND THE FOLLOWING SOCIAL EVENTS:

Lunch (November 6) - included in the registration fee:
YES NO

Welcome drink (November 6) - included in the registration fee:
YES NO

Lunch (November 7) - included in the registration fee:
YES NO

Conference dinner (November 7) - included in the registration fee:
YES NO

Lunch (November 8) - included in the registration fee:
YES NO

FOR ACCOMPANYING PERSON I WISH TO ORDER THE TICKET FOR THE FOLLOWING SOCIAL EVENTS:

Welcome drink (November 6) - 500 CZK
No. of tickets:

Conference dinner (November 7) - 1 500 CZK:
No. of tickets:

TOTAL PAYMENT:

By CREDIT CARD. Please fill in the sum of all applicable fees ( CZK ). After submitting you will be forwarded to the payment gateway of our bank:

By BANK TRANSFER. Please fill in the sum of all applicable fees ( CZK ):

Be so kind and send the scan of the bank transfer confirmation by email to: lmp2019@conferencepartners.cz.
Click here for all bank transfer details

Other Requests:

Please check all the data before submitting as changes may be done only by email (lmp2019@conferencepartners.cz).

By submitting this form you give us a consent for processing your personal data connected to your participation at the LMP 2019 in accordance with the European General Data Protection Regulation (EU GDPR) entered into force as of 25 May 2018.

14th International Conference on Local Mechanical Properties

Prague, Czech Republic, November 6-8, 2019

Registration Form

REGISTRATION FEE - SELECT PROPER OPTION(S):

I WILL ATTEND THE FOLLOWING SOCIAL EVENTS:

FOR ACCOMPANYING PERSON I WISH TO ORDER THE TICKET FOR THE FOLLOWING SOCIAL EVENTS:

TOTAL PAYMENT: