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EuroMed 2010 - Desalination for Clean Water and Energy
Cooperation among Mediterranean Countries
3-7 October 2010, Tel Aviv, Israel

Registration Form     

Family Name
First Name

Affiliation

City

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Mobile

E-mail

Address

Postal Code

Tel

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I plan to attend the conference
Registration fee (Before August 31, 2010) Registration fee (After August 31, 2010)
  Euros
EDS Member
€ 550 EDS Member € 650
Non Member
€ 650 Non Member € 750
Students* and retirees
*Letter from University
€ 400 Students* and retirees
*Letter from University		 € 450

 

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          
 
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Exp. date: (YY/MM)
 
 
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(3 digits on back of card)