EBWU Annual Conference

Warsaw-Radosc, Poland - 10-13 October 2019



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Online Registration Form

Note: the fields marked with asterisk (*) are required.




First name: *


Family name: *


Country *:


City: *


Phone: *


E-mail: *

Position in your national women's union: *




I travel by:
If you do not know your travel details yet, send the Registration Form without your travel data. You will be able to send your travel data later. By clicking on the specific link in the confirmation email, you will be able to edit your registration data and send them again.



Time and date of arrival:


Time and date of departure:



Car
Bus
Train
Plane
Flight number:
Do you need airport transfer?  Yes

 No

    


Is visa required? *


If you need visa please fill in the following :

Date of birth:


Name as given in passport:


Country of citizentship:



Arrival date to Poland:


Departure date from Poland:



Passport no:
Passport expiry date:

 




What kind of room do you choose? *


 Room with 3 beds and en suite shower.
      Total price of the Conference: 210 Euro.

Note: there are only a limited number of rooms with en suite shower.

 Room with 3 beds and a shared exterior bathroom.
      Total price of the Conference: 195 Euro.
       

Prefered room-mates:
(We cannot guarantee it, that but we will try to do our best)



    I need an extra night before the Conference   


    I need an extra night after the Conference   

The cost of the one extra night is the following:
20 Euro - triple room with en suite shower.
15 Euro - triple room with outside shared bathroom.
5 Euro for a breakfast and 8 Euro for a dinner.

 




How do you pay for
the Conference?
*
 I will pay
       through bank transfer

 I will pay at the conference venue


Our bank details are:
"EBWU Annual Conference"
Account number: 272728.
Spar- und Kreditbank Evangelisch-Freikirchlicher Gemeinden eG.
Postfach 1262, 61282 Bad Homburg
BIC: GENODE51BH2
IBAN: DE45 5009 2100 0000 2727 28




   I apply for scholarship





Other comments

(please include your dietary options):




After you have submitted the Registration Form, you will receive a confirmation email to your email address with your registration data. If you did not receive the comfirmation email, please check your Spam folder.

Important. After submitting the Registration Form, you may modify your registration data at any later time. The confirmation email contains a link for that purpose: by clicking on that link you may change your registration data and send them again.