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TRANSCRIPT
ŽIVA AWARD 201614 – 18 September 2016, Zadar, Croatia
APPLICATION FORM
REGISTRATION INFOLast nameFirst nameAddressPostcode / CityCountryInstitution Telephone E-mail
TRAVEL INFODate of arrivalDate of departure
REGISTRATION FEEFSC member* YES / NONon FSC member**
YES / NO
* with the membership payment and the proof of payment** to become a member of FSC, please fill in the membership form and enjoy exclusive membership privileges
Early bird registration (until 30th June 2016)- FSC members – 50,00 EUR*- Non FSC members – 80,00 EUR
Registration (after 30th June 2016)- FSC members – 70,00 EUR*- Non FSC members – 100,00 EUR
Bank Account for Transferring Participant’s Payment
Please, transfer the payment to the following bank account and send the copy of the bank transfer receipt with the registration form [email protected] and [email protected].
Bank name: Privredna banka d. d. ZagrebAccount holder: Muzej antičkog staklaAccount holder address: Poljana zemaljskog odbora 1, 23000 Zadar, CroatiaIBAN: HR4023400091110291579SWIFT Code: PBZGHR2X
Cancellation PolicyIn case of cancellation cost for the registration fee will be refunded until 1st August 2016. Beyond this date there will be no refund.
The FEE includes:- participation at all events within the Živa Award 2016
programme,- materials,- coffee and lunch breaks,- Zadar guided sightseeing city tour,- Ancient Glass Museum Zadar gudied tour,- Welcome drink (Wednesday, 14th September 2016),- Coctail (Thursday, 15th September 2016),- Gala dinner (Friday, 16th September 2016),- Full day guided excursion by boat to Kornati National Park
(lunch included).
Date: Signature: