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REGISTRATION FORM

GENERAL INFORMATION:
TITLE:        
FIRST NAME (as stated in passport):
SURNAME:
INSTITUTION:
DEPARTMENT:
POSITION:
NATIONALITY
(required for invitation letter/visa requirements):
ICOM CARD NUMBER

ACCOMPANYING PERSON:
NAME:
SURNAME:
NATIONALITY
(required for invitation letter/visa requirements):

CONTACT INFORMATION:
E-MAIL:
TELEPHONE:
FAX:
FULL POSTAGE ADDRESS:
I agree to have my contact information distributed
to ICOM CECA 2011 Conference participants.



ARRIVAL AND DEPARTURES
ARRIVAL DATE:
ARRIVING BY:



If arriving by plane would you like us to arrange
your transfer* from the airport to the hotel?


If you marked YES, please leave your arrival/departure details:  
ARRIVAL TIME:
ARRIVAL FLIGHT:
DEPARTURE DATE:
DEPARTURE TIME:
DEPARTURE FLIGHT:
*one way transfer with English speaking driver, who will wait for you at the arrivals lounge with a sign ICOM CECA 2011, from airport to the hotel of your choice is 35,00 €. If you confirmed the transfer we will contact you regarding the payment.  

ACCOMMODATION DETAILS
Several hotels have been preliminarily reserved at special rates for all ICOM CECA 2011 participants. For any room reserved there is a city tax per person per day of 1€. If there are no free capacities in the hotel which is your first choice we will contact you with an alternative offer.
Please choose one hotel from list:
Westin Hotel 5*
www.westinzagreb.com




Four Points by Sheraton Panorama Zagreb
Hotel 4*

www.hotel-fourpointspanorama.com


Astoria Best Western Premier Hotel 4*
www.hotelastoria.hr





Dubrovnik Hotel 4*
www.hotel-dubrovnik.hr

Jadran Hotel 3*
www.hoteljadran.com.hr


Central Hotel 3*
www.hotel-central.hr


The Movie Pub Hotel 3*
www.themoviehotel.com

Lisinski Hotel 3*
www.hotel-lisinski.hr

Dora Hotel 3*
www.zug.hr

If you are sharing a room with someone please state their name:
Special requirements (vegetarian, allergies, etc.):

CONFERENCE FEE:

Conference fee includes: welcome reception, working material, coffee breaks, lunches, farewell dinner
SPECIAL PRICE FOR * SEE STATE € 175.00
Regular fee – 350,00 €
On site fee – 400,00 €
Daily fee – 100,00 €

* applies to following: Albania, Bosnia and Herzegovina, Montenegro, Croatia, Macedonia, Serbia and Kosovo.

Early bird fee – 300,00 € . The early bird fee is valid till the 30th April 2011.
Preferred language for simultaneous translation (please choose one):


Accompanying person fee – 150,00 €

Accompanying person fee includes: welcome reception, excursion to the city of Varaždin, farewell dinner
 

Study Trip
HRVATSKO ZAGORJE REGION - Krapina Neanderthal Museum, Krapina - Veliki Tabor, Desinić - 'Old Village' Museum, Kumrovec - Antun Augustinčića Gallery, Klanjec
Study Trip per person 35,00 €.
Included in the field trip price is transfer by air-conditioned coach, group leader, lunch, entrance tickets to museums and guided tours of museums.
Please mark whether you will attend:


Please mark if your accompanying person will attend:
 


For all questions please contact us at info@icomceca-croatia.com or at tel +385 1 4881 106, fax +385 1 4881 119.

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