XVII International Congress of Linguists
PAYMENT FORM
  1. Note that you also have to send back the REGISTRATION FORM to complete your registration.
  2. Note that you have to arrange payment of the lodging in the student residence before March 31, 2003; otherwise accommodation will not be guaranteed.

 
Name: .....................................................................................

e-mail: ......................................................................................

REGISTRATION FEE (in Euro) - please mark the applicable item:

participant
accompanying person
student
before 31/5/2002
220
110
50
from 1/06/2002 to 31/12/2002
250
140
60
after 31/12/2002
300
160
70

ACCOMMODATION in the Student Residence:  ..................... EUR
BREAKFAST in the Student Residence:  ..................... EUR
TRIP on July 27, 2003:  ..................... EUR
BANQUET on July 28, 2003:  ..................... EUR
 
TOTAL PAYMENT:  ..................... EUR

PAYMENT METHOD:
[  ] cheque made to the order of Universita Karlova v Praze, MFF UK (send the cheque to the address above)
[  ] money order in Czech crowns made to KB Praha 1, account No. 38330-021/0100, text symbol 207-60-1044, account name Univerzita Karlova v Praze, MFF UK, SWIFT KOMB CZ PP
[  ] money order in EUR made to CSOB Praha 1, account No 151019577/0300, text symbol 207-60-1044, account name Universita Karlova v Praze, MFF UK, SWIFT CEKO CZ PP
[  ] credit card (in this case fill in the details on the credit card order form and send or fax it to the organizers; DO NOT SEND THE REQUESTED INFORMATION ABOUT YOUR CREDIT CARD BY E-MAIL!)
 
PLEASE MAKE SURE THAT BANK TRANSFER IS MADE NET OF ALL BANK CHARGES AND COMMISSIONS.

 

Date: .....................................   Signature: ......................................................................