Registration Form
Registration Form
(one person only)
(one person only)
Name .............................................................. First Name .............................................
Name .............................................................. First Name .............................................
Title ................................................................. Institution .............................................
Title ................................................................. Institution .............................................
Address ...........................................................................................................................
Address ...........................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
Zip Code ....................................... City ....................... Country .....................................
Zip Code ........................................City....................... Country .....................................
Telephone ............................................ Fax ....................................................................
Telephone ............................................ Fax ....................................................................
E-mail .............................................................................................................................
E-mail .............................................................................................................................
Registration Fees
Registration Fees Before Dec. 1, 2008
Full registration (meals included) Students Lectures only, per day Students Single meal Students Friday, Dec. 12 (lunch) Saturday, Dec. 13 (lunch) Sunday, Dec. 14 (lunch)
110 € 60 € 30 € 10 € 12 € 6€ ❏ ❏ ❏
After Dec. 1, 2008 130 € 70 €
Friday, Dec. 12 (dinner) ❏
Payment — Full registration — Registration for lectures only — Meals X 12 € Total amount
prior 1-12-2008 Full registration (meals included) Students Lectures only, per day Students Single meal Students Friday, Dec. 12 (lunch) Saturday, Dec. 13 (lunch) Sunday, Dec. 14 (lunch)
110 € 60 € 30 € 10 € 12 € 6€ ❏ ❏ ❏
after 1-12-2008 130 € 70 €
Friday, Dec. 12 (dinner) ❏
Payment .......... € ........... € ........... € ........... €
Thursday ❏ Friday ❏ Saturday ❏
Available payment methods ❏ Check payable to « ITO - colloque» ❏ Bank transfer IBAN FR76 3000 3035 0100 0501 2961 754 BIC SOGEFRPP Please return this form with your payment to: Institut de Théologie Orthodoxe 93 rue de Crimée - 75019 Paris - France Tel. +33 1 42 01 96 10 E-mail :
[email protected] Web site: http://Schmemann.conference.free.fr
— Full registration — Registration for lectures only — Meals X 12 € Total amount
.......... € ........... € ........... € ........... €
Thursday ❏ Friday ❏ Saturday ❏
Available payment methods ❏ Check payable to « ITO - colloque» ❏ Bank transfer IBAN FR76 3000 3035 0100 0501 2961 754 BIC SOGEFRPP Please return this form with your payment to: Institut de Théologie Orthodoxe 93 rue de Crimée - 75019 Paris - France Tel. +33 1 42 01 96 10 E-mail :
[email protected] Web site: http://Schmemann.conference.free.fr