wcp2013-template-off-line-registration-form-v.doc

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23 rd World Congress of Philosophy (WCP 2013) Athens, 4 – 10 August 2013 School of Philosophy, National & Kapodistrian University of Athens, Greece Template off line Registration Form (Personal information: All fields marked with * should be completed and written in English to avoid technical problems) You are kindly requested to fill in and send this form to the WCP 2013 Booking Secretariat at [email protected] . * FIRST(GIVEN) NAME (Mr, Ms, Mrs,): *MIDDLE OR OTHER NAMES: *SURNAME (OR FAMILY NAME): *TITLE (Prof., Dr., MPhil., MA, BA, Student): *POSITION OR OCCUPATION: *INSTITUTION (TEACHING OR RESEARCH): *NATIONALITY: *PASSPORT NUMBER: *ADDRESS WORK: *ADDRESS HOME: TELEPHONE HOME & *TELEPHONE WORK: *MOBILE: *FAX (WORK) & *FAX (HOME): * PERSONAL EMAIL & *EMAIL(WORK): Registration Category Prior to 01/10/2012 From 02/10/2012 to 01/02/2013 After 02/02/2013 and On-Site Participants 200 € 225 € 250 € Accompanying Persons 100 € Students* 50 € Invited Speakers & Chairpersons of Plenary Sessions, Symposia & Endowed Lectures 0 € * Please note that a copy of the student card or a certificate is required in order for the registration to be confirmed, while the original one must also be presented on site at the Congress Secretariat. Participant's fee includes: - Participation in the Opening Ceremony at Herodium - Participation in the Closing Ceremony - Congress kit & material Invited Speakers & Chairpersons have the same registration rights as Participants", namely: - Participation in the Opening Ceremony at Herodium

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Page 1: wcp2013-template-off-line-registration-form-v.doc

23rd World Congress of Philosophy (WCP 2013)

Athens, 4 – 10 August 2013

School of Philosophy, National & Kapodistrian University of Athens, Greece

Template off line Registration Form

(Personal information: All fields marked with * should be completed and written in English to avoid technical problems)

You are kindly requested to fill in and send this form to the WCP 2013 Booking Secretariat at [email protected].

* FIRST(GIVEN) NAME (Mr, Ms, Mrs,):

*MIDDLE OR OTHER NAMES:

*SURNAME (OR FAMILY NAME):*TITLE (Prof., Dr., MPhil., MA, BA, Student):

*POSITION OR OCCUPATION:*INSTITUTION (TEACHING OR RESEARCH):

*NATIONALITY:*PASSPORT NUMBER:

*ADDRESS WORK:*ADDRESS HOME:

TELEPHONE HOME & *TELEPHONE WORK:*MOBILE:

*FAX (WORK) & *FAX (HOME):* PERSONAL EMAIL & *EMAIL(WORK):

Registration Category Prior to 01/10/2012 From 02/10/2012 to 01/02/2013

After 02/02/2013 and On-Site

Participants 200 € 225 € 250 €

Accompanying Persons 100 €

Students* 50 €

Invited Speakers & Chairpersons of Plenary Ses-sions, Symposia & Endowed Lectures

0 €

* Please note that a copy of the student card or a certificate is required in order for the registration to be confirmed, while the original one must also be presented on site at the Congress Secretariat.

Participant's fee includes:- Participation in the Opening Ceremony at Herodium- Participation in the Closing Ceremony- Congress kit & material

Invited Speakers & Chairpersons have the same registration rights as Participants", namely:- Participation in the Opening Ceremony at Herodium- Participation in the Closing Ceremony- Congress kit & material

Student's fee includes- Participation in the Opening Ceremony at Herodium- Participation in the Closing Ceremony- Congress kit & material

Accompanying Person's fee includes- Participation in the Opening Ceremony at Herodium- Participation in the Closing Ceremony

Page 2: wcp2013-template-off-line-registration-form-v.doc

23rd World Congress of Philosophy (WCP 2013)

Athens, 4 – 10 August 2013

School of Philosophy, National & Kapodistrian University of Athens, Greece

Payment & Cancellation Policy

Full settlement of the registration fee is required in order for the registration to be confirmed. Cancellations should be made in writing to the WCP 2013 Secretariat. For any cancellation submitted till 30/04/2013, full refund will apply except from a processing fee of 40€ for Participants, 30€ for Ac-

companying Persons and of 20€ for Students. Bank charges to be deducted from the refunded amount. For any cancellation submitted from 01/05/2013 till 31/05/2013, 50% refund is applicable. Bank charges to be deducted from the re-

funded amount. After 31/05/2013 no refund will be possible. All refunds will be made after the Congress.

Way of Payment

Please select the preferable payment method

Bank transfer (Thank you for sending us your bank transfer receipt identified with your name and WCP2013)

Account number: 124-00-2320-001374 Beneficiary: AFEA TRAVEL & TOURISM S.A.

Bank: ALPHA BANK, VENIZELOU  BRANCH   (103)  IBAN number: GR55 0140 1030 1240 0232 0001 374Swift code: GRBAGR AAXXX

Reference: WCP 2013 / Full name of Participant* Bank charges to be paid by the participant

Credit card

Credit card: Credit card number:

Name of the credit card holder: CVC code (3 last digits at the back side of your credit card:

Expiration date:

□ I authorize WCP 2013 Booking Secretariat to debit the above credit card for the amount covering my registration fees of the World Congress Philosophy to be held in Athens from 4 till 10 August 2013.

□ I am in agreement with the terms and conditions as stand in this form.

     Name