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Miriam Balaban
Tel. +39 348 8848 406
eFax +1 928 543 3066
balaban@desline.com, desline.com@gmail.com

 

 
Register 

Printable version  

Desalination for the Environment
Clean Water and Energy
Kongresshaus, Baden-Baden, Germany
17-20 May 2009


Registration Form     

Family Name +
First Name +

Affiliation

City

Country

Mobile

E-mail +



Address


Postal Code

Tel +

Fax


+ Compulsory Fields
I plan to attend the conference
I intend to submit a paper entitled:


I prefer

oral presentation poster presentation


Registration fee (Before March 31, 2009)
  Euros
EDS Members
€ 550
Non Members
€ 650
Students* and retirees
*Letter from University
€ 400

Registration fee (After March 31, 2009)
  Euros
EDS Members
€ 650
Non Members
€ 750
Students* and retirees
*Letter from University
€ 450
   
TOTAL
   
Method of Payment

Bank Transfer to be sent to the address below
Please take care of your own bank charges
Account Name: European Desalination Society
Account N°: 11863.19 Bank: Banca Monte dei Paschi di Siena
Address: Corso Federico II , 67100 L'Aquila, Italy
ABI: 01030 - CAB: 03600 - Swift Code: PASCITMMAQU
IBAN CODE: IT 92 I 01030 03600 000001186319
 
Credit Card: Visa Mastercard
 
Card N°:
Exp. date: (YY/MM)
Cardholder name:
Amount Due:
750
Security number (3 digits on back of card):
Signature:
   
Other payment: (please contact EDS office)