Wednesday, 22 February 2012
You are here: Home Registration form
REGISTRATION FORM FOR INTERNATIONAL CONFERENCE
Integration in Psychotherapy.
How to make it work?
 17-19 SEPTEMBER 2010, Warsaw

PERSONAL DATA
Surname:*
First name:*
Academic Title:*
Work address:*
   
Address for correspondence
Surname:*
First name:*
Name of Institution:
street:*
house no.:*
 appartment no.:
Postal/Zip code*
city:*
telephone:*
fax:
e-mail*
 
 
REGISTRATION FEES
before 31 December 2009 200 EUR
after 31st December 2009, till 15th August 2010 260 EUR
after 15th August 2010, till 15th September 2010 310 EUR
after 15th September 2010 and during the Conference 360 EUR
Note: fee for participants from Eastern European countries is the same as for Poland. To receive more information please contact organising committee: psip@psip.org.pl
  I pay the fee:

360 EUR
  (please take your copy of bank transfer for the registration at conference)
no refund of registration fee if cancellation received after 15.09.2010.
90% refund of registration fee if cancellation received before 15.09.2010
   
  I need an invoice for my participation in the Conference:*
 

YES NO

DATA FOR INVOICE:
Institution Name:
address:
VAT code
   
I accept an invoice with no receiver signature:
Account number:

Polskie Stowarzyszenie Integracji Psychoterapii
ul. Katowicka 18, 03-932 Warszawa
SWIFT: CITIPLPX
PL 30103000190109786314006672

Title: Warsaw Conference 2010
 

In case of submitting the registration form and not paying within 14 days, the submission will be automatically cancelled.

 
 
  
 

 

 

 

Powered By ChronoForms - ChronoEngine.com

Your are currently browsing this site with Internet Explorer 6 (IE6).

Your current web browser must be updated to version 7 of Internet Explorer (IE7) to take advantage of all of template's capabilities.

Why should I upgrade to Internet Explorer 7? Microsoft has redesigned Internet Explorer from the ground up, with better security, new capabilities, and a whole new interface. Many changes resulted from the feedback of millions of users who tested prerelease versions of the new browser. The most compelling reason to upgrade is the improved security. The Internet of today is not the Internet of five years ago. There are dangers that simply didn't exist back in 2001, when Internet Explorer 6 was released to the world. Internet Explorer 7 makes surfing the web fundamentally safer by offering greater protection against viruses, spyware, and other online risks.

Get free downloads for Internet Explorer 7, including recommended updates as they become available. To download Internet Explorer 7 in the language of your choice, please visit the Internet Explorer 7 worldwide page.