International Conference on
MEMBRANES IN DRINKING AND INDUSTRIAL WATER PRODUCTION
6–8 February 2017, Leeuwarden, The Netherlands

PRINT VERSION (Click)   

Registration Form

Family Name

Affiliation

City

Country
Mobile

Email
First Name

Address

Postal Code

Tel.
Fax
   Please send me an invoice
 
Registration fee (Before January 15, 2017)
 
Registration fee (After January 15, 2017)
   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
       1 day € 300
       1 day (Students) € 200
 

Method of payment
   Bank Transfer to be sent to the address below. Please take care of your own bank charges
Account Name:
Account N°:
Bank:
Address:
ABI:
CAB:
Swift Code:
IBAN Code:
European Desalination Society
11863.19
Banca Monte dei Paschi di Siena
Corso Federico II , 67100 L'Aquila, Italy
01030
03600
PASCITMMAQU
IT 92 I 01030 03600 000001186319
   Credit Card ( or )
Card No.    

Cardholder name    
Exp. date (MM/YY)    

Security number