VIII INTERNATIONAL SYMPOSIUM AND EXHIBITION
ON ELECTROMAGNETIC COMPATIBILITY AND ELECTROMAGNETIC ECOLOGY
russian version

General Sponsor
of the Symposium -

BANKING INFORMATION

Beneficiary: DISCONE-CENTRE LIMITED
5, Prof. Popov Street, St. Petersburg, 197376, Russia
EURO account: 40702978370355000141
B.I.N BANK
BRANCH ST.PETERSBURG
(SWIFT: BINORUMM)

Acc: 0101518017
Correspondent bank:
VTB Bank (Deutschland) AG
Frankfurt-Main Germany
(SWIFT OWHBDEFF)

In the payment document it is necessary to specify: "For participation in the Symposium and Exhibition EMC'2009 according to the third call for papers of February 16, 2009" and the name of the participant.

Please specify “OUR” in the 71A line of SWIFT order whereas the banking commission has to be paid by the payer.

PAYMENT by CREDIT CARD

Please, return this form after scanning by e-mail: discone@mail.wplus.net or by fax: + 7 (812) 234-4681

I entrust with Discone-Centre Limited to remove from my credit card the sum of my Registration Fees for participation in the VIII INTERNATIONAL SYMPOSIUM AND EXHIBITION ON ELECTROMAGNETIC COMPATIBILITY AND ELECTROMAGNETIC ECOLOGY

The payment with the rated increase 2,5 % to using the plastic card in the Bank serving Symposium is:

Registration Fees include:

•  Regular participants including speakers before March 31, 2009 400 EURO
•  Regular participants including speakers after March 31, 2009 450 EURO
•  Students 200 EURO
•  Exhibitors including one Registration Fee (EURO 1435 x_____) ______EURO
•  Spouse/Accompanying persons 92 EURO
•  Additional Symposium Proceedings 31 EURO
•  Obtaining of the official visa via the Internal Affairs Ministry 31 EURO
•  Symposium banquet 36 EURO

Hotel services will be provided at mini-hotels, a part of them is close to the “LETI” University (underground station “Petrogradskaya”), and one of them - http://www.eurasia-hotel.ru/dn/en_home , which is situated close to the Nevsky Prospect.

Rates/nights including breakfast (please tick the appropriate box):

for mini-hotels -
SGL Room
EURO 108 x ___night
________EURO
 
DBL Room
EURO 123 x ___night
________EURO
for Dynasty Hotel -
SGL Room
EURO 118 x ___night
________EURO
 
DBL Room
EURO 133 x ___night
________EURO
Total………………….EURO


Besides that the Organizing Committee offers several rooms in http://www.guyot.spb.ru/en/ (430 m from University) and Andersen Hotel (1100 m from University).

for Guyot Hotel -
SGL Room
EURO 195 x ___night
________EURO
 
DBL Room
EURO 241 x ___night
________EURO
Total………………….EURO

Travel information: arrival (date) :_______________ departure (date) :_______________

Payment for hotel accommodation should be performed not later than March 31, 2009 either by bank transfer or by credit card in EURO (in-depth information see on page Banking Informarion and Payment by Credit Card).

If the payment is performed after March 31, 2009 reservation of the hotel cannot be guaranteed.

Name:

Address:

City:

Country:

Zip:

Phone number:

Fax number:

E-mail:

TYPE OF CREDIT CARD:  _____VISA ______MasterCard _____Diners Club ______JCB

CREDIT CARD NUMBER:

 ____

 ____

 ____

 ____

-

 ____

 ____

 ____

 ____

-

 ____

 ____

 ____

 ____

-

 ____

 ____

 ____

 ____

EXPIRATION DATE (month/year): ________

NAME OF CARD HOLDER: __________________________________________________

NOTE:

The amount of your payment is calculated in Roubles in accordance with the Russian Central bank current rate of currency exchange. Please pay your attention that this amount can have a minor difference from the amount indicated on your bank transfer order, because of the banks currency exchange rates difference.

CARD HOLDER'S SIGNATURE:________________________

DATE:___________________________________________

Please, do not make any corrections in sums or number

Downloads Agreement of Payment Form (*.doc, 47 Kb)