FAN Conference Rust 2015

Registration Deadline: November 11, 2015 12 pm (CET)

 

Fist Name:*
Last Name*
Address:*
Club/IG:*
Position (within the Club/IG):*
Date of birth:*
 / 
 / 
Email:*
Arrival Vienna (DD.MM. hh:mm):
Arrival Rust (DD.MM. hh:mm):
Transport :*
Departure Rust (DD.MM. hh:mm):
Departure Vienna (DD.MM. hh:mm):
Vegetarian:*

Visa

Visa requiered? :*

if yes, please provide the following information:

Which Visa do you need?:

For which period do you need the visa?

Start:
 / 
 / 
End:
 / 
 / 
passport number:


Contact in Case of emergency

Name:
E-Mail:
Phone:

General Information

Please transfer the participation fee of 50€ to the account of Club Alpbach Burgenland (IBAN: AT763300000001092725, BIC: RLBBAT2EXXX) to complete your registration.

The participation fee covers the accommodation in Seehotel Rust (http://www.seehotelrust.at/) in a double room, dinner on Friday, lunch on Saturday and any conference material.

For general questions in regard to visa please address yourself to katharina.okulski@alpach.org. For any other questions feel free to contact jose.magnaye@alpbach-burgenland.at.