ERASMUS Conference and Go-Exchange Education Fair, Erasmus Coordinators Conference 2007

Registration Form

Host Organizing Institution: European Organizing Committee (ERACON 2007)
University of Cyprus, University House A.G. Leventis,
P.O.Box 20537, CY1678, Nicosia, Cyprus
makrides.g@ucy.ac.cy , michael.e@intercollege.ac.cy, info@eaec.eu.com
Fax: +357-22894472, Tel. +357-22894288

Registration Form

Please submit before April 15th 2007.

Please use STANDARD ENGLISH characters only in this form.


*1. Personal details*
Title:
Last name (Surname):
Name:
Gender:	Female Male
Institution name:
Address:
Tel:
Fax:
E-mail:
Are you vegetarian?	Yes No
Do you plan to participate in the excursion on 12 May?	Yes No
Will you have an accompany person who will not register?	Yes No

*2. Registration fees*
(includes: conference bag, abstracts booklet, coffee breaks, excursion, fair well dinner on Saturday evening, access to all lectures and workshops, participation in the Go-exchange fair)
FEES:	EAEC members 150 Euro
	Non members 200 Euro
	EAEC Members (First speaker of accepted talk) 100 Euro
	Non members (First speaker of accepted talk): 175 Euro
I will represent my Institution at the Go-Exchange Educational Fair:
Name of University
Country
All material for the fair has to be sent by courier to the following address no earlier than one week before the conference. (please indicate zero value of material or no commercial value)

*3. Payment method*
1. Bank check (international)	Make the check payable to: European Association of Erasmus Coordinators
2. Money transfer to Bank Account	Beneficiary name: European Association of Erasmus Coordinators Account number: 0158-40-000106-48 IBAN: CY97 0020 0158 0000 0040 0001 0648 SWIFT: BCYPCY2N Bank name: Bank of Cyprus Indication: ERACON 2007 Registration fee
All bank charges have to be fully covered by the participant.
When payment is made send a copy of the bank receipt to the fax +357-22352067