PAPER REGISTRATION FORM (4th EPSMSO)

(for those who want to submit & present a paper)

Corresponding/Presenting Author's details
Title:
Last Name:
First name:
Gender:
Position:
Organisation:
Address:
Country:
Phone:
Fax:
E-mail:
Paper's details
Paper Title:
Authors:
Registration Fee
1st Paper Registration before 15 May, 2011* 400 EUR
Registration after 15 May, 2011* 500 EUR
Additional Paper 150 EUR
Options Proceedings on paper
(including the cost of Air-Mail)		 80 EUR
* These dates are irrespective of the dates of paper submission
Total Remittance (in Euros):

The registration of the paper covers the registration of the presenting author, which includes:
Program/Abstract Book, USB stick with Proceedings, Coffee Breaks, Lunches, Banquet.
 
Form of Payment
I have ordered a Bank Transfer** (copy of the bank transfer should be sent by e-mail)***
Payment by Western Union** (copy of the bank transfer should be sent by e-mail)***
Payment Date:
Sender Name:


** Bank/transfer costs are paid by the registrant
*** Please indicate the name of the participant and the code "4th IC-EPSMSO Conference" and
email to: info2011 @ epsmso.gr

Receiving bank details:
Bank name and address: NATIONAL BANK OF GREECE
Galatsi Branch, Athens, Greece
Bank account number: 122/380098-93
Currency code EURO
Code BIC (SWIFT address) (obligatory): ETHNGRAA
COS IBAN: GR7401101220000012238009893
Name of beneficiary:

 PROFESSOR DEMOS TSAHALIS
4th IC-EPSMSO

Cancellation
All cancellation must be made in writing to the Conference Secretariat. For Cancellation
received by 31 May, 2011 a refund of 80% will be granted. No refunds will be made
for cancellations after that date.

Your registration will be confirmed after the receipt of payment (please don't forget to keep
a copy for your file)

The conditions of this registration are hereby fully accepted.