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. Barcelona, 4-6 September Barcelona, 4-6 September REGISTRATION FORM -Fill in the Registration Form -E-mail to: [email protected] Title/ Degree Family Name First Name/ Given Name Address City Region/ Province/ State Zip/ Code Country Telephone Mobile E-mail (Mandatory - All Symposium information will be sent via e-mail) Institution/ Organization Department Areas of interest in MedPalyno 2017 Aerobiology Melissopalynology Paleopalynology Pollen morphology, biology and biochemistry Topics on Applied Palynology Registration Fee Fee Members* € 325 Non Members € 350 Students # € 275 * Members of APLE- GPPSBI- APLF # Students must upload a copy of a valid student card or a letter certifying their status. The Registration fee gives right to access all scientific sessions and includes Symposium documents, name badge and the coffee breaks and lunches. Mediterranean Palynology 2017 Symposium Barcelona, 4-6 September www.medpalyno2017.wordpress.com

Web view*CVV are the last 3 digits in the back of your credit card. ... Please enclose herewith a copy of the bank receipt . Technical Secretary . E-mail:

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. Barcelona, 4-6 September

Barcelona, 4-6 September

REGISTRATION FORM

- Fill in the Registration Form- E-mail to: [email protected]

Title/ Degree Family Name First Name/ Given Name

                 

Address City

           

Region/ Province/ State Zip/ Code Country

                 

Telephone Mobile

           

E-mail (Mandatory - All Symposium information will be sent via e-mail)

     

Institution/ Organization Department

           

Areas of interest in MedPalyno 2017    Aerobiology

   Melissopalynology

   Paleopalynology

   Pollen morphology, biology and biochemistry

   Topics on Applied Palynology

Registration Fee

Fee

Members* € 325   

Non Members € 350   

Students# € 275   

* Members of APLE- GPPSBI- APLF# Students must upload a copy of a valid student card or a letter certifying their status.

The Registration fee gives right to access all scientific sessions and includes Symposium documents, name badge and the coffee breaks and lunches.

We are trying to apply a sustainable and responsible ethics to the food consumption. Please, help us and indicate which lunches and coffee breaks you are planning to attend in the Symposium.

September, 4th September, 5th September, 6th

   Coffee    Coffee    Coffee

   Lunch    Lunch

Mediterranean Palynology 2017 Symposium Barcelona, 4-6 Septemberwww.medpalyno2017.wordpress.com

ACCOMMODATION FORM

LAST AVAILABLE ROOMS

HOTELS DOUBLE USE SINGLE DOUBLE TWIN

1- HOTEL DERBY**** 105.-€    120.-€   2- HOTEL ASTORIA*** 135.-€    150.-€   3- No, Thanks   

PRICE PER NIGHT INCLUDING BREAKFAST AND 10% VATPrice valid from 3 to 6 September 2017.

Arrival:       September/2017 Departure:       September/2017

Price:       € X       Nights =       Total Amount

NOTEPlease note that the hotel availability may be exhausted. Sell out rates are subject to availability. Due to other international events in Barcelona at the same time, EARLY BOOKING IS RECOMMENDED.

Cancellation PolicyNotification of cancellation must be sent to Standing Tours at [email protected].

An amount equal to 80% of the fee paid will be refunded for cancellations received by July 15. All approved refunds will be processed and issued 30 days after the Symposium.

September

Mediterranean Palynology 2017 Symposium Barcelona, 4-6 Septemberwww.medpalyno2017.wordpress.com

MedPalyno 2017 SymposiumUPF Barcelona School of ManagementCarrer Balmes 132-134, 08008, Barcelona

PAYMENT

Payment of registration fees (in EUR) can be made as follows:

CREDIT CARD    VISA    MASTERCARD    AMEX

Credit card number:      

Expiry date: MONTH/YEAR:       CVV/Security Code:      

*CVV are the last 3 digits in the back of your credit card

Cardholder’s name (as appearing in the card):      

Registration fee €      

Accommodation €      

Total amount €      

Authorize the charge of €       on my credit card

BANK TRANSFER

Please transfer the payment to STANDING TOURS, S.A.BANCO POPULARIBAN ES92 0075 0122 0906 0687 9411 – SWIFT/BIC: POPUESMM

Note: This payment form should clearly state the name(s) of the delegate(s) and should clearly state “MedPalyno 2017”

Please enclose herewith a copy of the bank receipt

Technical Secretary E-mail: [email protected]: +34 - 93 208 14 40

Mediterranean Palynology 2017 Symposium Barcelona, 4-6 Septemberwww.medpalyno2017.wordpress.com