Registration

First name
Name
Affiliation
Address
ZIP/Town   /  
Country

E-Mail
I agree on the publication of the above information on the list of participants
Fees
Regular fee (110 Euro, including federal tax)
Reduced fee for students (75 Euro, including federal tax)
Dinner
Participation joint dinner March 6th, 2013 (on own expenses)
...
Herewith I register for the GeoViz Hamburg 2013:


Please transfer your fee - either 110 Euro (regular) or 75 Euro (reduced) - to:

within Germany:
Empfänger: HCU NIAH GmbH
BLZ: 200 700 24 (Deutsche Bank AG, Hamburg)
Nr. 280 696 601
Verwendungszweck: GeoViz, <Name>, <Vorname>

international:
Remittee: HCU NIAH GmbH (Hebebrandstr. 1, 22297 Hamburg, Germany)
Bank: Deutsche Bank AG, Hamburg
IBAN: DE03 200 700 240 280 696 601
BIC: DEUTDEDBHAM
Subject: GeoViz, <Name>, <First name>

Please note: There will be no extra E-Mail confirmation. If a print-out of this page does not fulfill your needs, please contact us. You will get a receipt of your payment on the conference site.