Animal Conference '06 - online registration

Step 1: Please fill in your personal details.

Compulsory fields are indicated by the "*" symbol.

Personal details: (the data is used for organizing the conference only)

Title *

First name *

Surname *

Organisation

Address*

City*

Postcode*

Country*

Phone/Fax

Email *

Registration details:

Conference days*:

Saturday, 14.10.2006

Sunday, 15.10.2006

Catering:

x middaybuffet ( 9,50) (maximum = 2, saturday and sunday)

x evening meal ( 8,00) (maximum = 1, saturday only)


Payment (for the catering only):

You can pay when you check in on saturday morning (14.10.2006) or submit the money to the following bank account (please fill in your complete name and as reason for transfer "Animal Conference Vienna 2006"!):

VEREIN GEGEN TIERFABRIKEN, 1140 Wien
Kto. 92 029 958, P.S.K. (Blz. 60000)
IBAN: AT766 000 000 092 029 958, BIC: OPSKATWW


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