"Time, Space and Mobility" Online International Conference

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Registration Form

Title *

Mrs

Miss

Prof.

Other:

First Name *

Family Name *

Position *

Institution *

Postal address *

E-mail *

Telephone *

Form of participation: *

Presenter

Listener

Title of your presentation

Co-authors (if any)

I want to volunteer to chair a session *

Yes

Please choose one type of registration fee *

Full registration fee: 70 €

Student registration fee: 50 €

Invoice details (if you need an invoice, please provide us with the necessary details)

Please indicate any special dietary requirements

Other requirements

How did you learn about the conference? *

I want my details (name, institution, email) on the Conference Participant List

I don't want my details (name, institution, email) on the Conference Participant List

Payment method *

I would like to pay by bank transfer

I would like to pay by PayPal, please send me an electronic invoice to initiate the payment

Payment Information

The preferred payment method is by bank transfer

To Pay in EUR
Bank Name: Alior Bank
Beneficiary/Account Name: Fundacja “Interdisciplinary Research Foundation”
Address: Al. Jerozolimskie 85/21, 02-001 Warsaw, Poland
Account Number/IBAN: PL59 2490 0005 0000 4600 6272 3541
Swift Code: ALBPPLPW

Bank address: Alior Bank Spółka Akcyjna
ul. Łopuszańska 38D, 02-232 Warszawa, Polska (Poland)

To Pay in PLN
Bank Name: Alior Bank
Beneficiary/Account Name: Fundacja “Interdisciplinary Research Foundation”
Address: Al. Jerozolimskie 85/21, 02-001 Warsaw, Poland
Account Number: 24 2490 0005 0000 4520 6969 6512

When paying by bank transfer, please quote:
"Time, Space and Mobility" Conference fee – _____________(your full name)"

Note: All bank charges and commissions are paid by the participants. Please inform your bank about this when ordering the transfer.

Please note that a confirmation of your payment (a copy of your conference fee payment slip) is required. You are kindly requested to submit this copy to us in scanned form by e-mail to: spatiality.temporality@irf-network.org.

PAYPAL payments are also accepted: A 4-5% charge applies to all items and services paid for in this way. Our PayPal account address is info@irf-network.org. Please choose PayPal payment method in the registration form and we will send you an electronic invoice to initiate the payment.

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