Name
First name*:
Family name*:
Gender:	F   M
Complete Billing Address
University / Institute*:
Street*:
City/town*:
Post code*:
State*:
Phone*:
E-mail*:
Position
Student Lecturer Accompanying person
Form of payment
Bank transfer - VAT ID required Cash
I want to apply for discount (eligible students outside the CELTA project)
Visits
I want to participate in Scientific visit (Mo, July 9th, afternoon, ELI - Extreme Light Infrastructure)
I want to participate in Cultural visit (We, July 11th, afternoon, Mělník city, castle and winery)
Food options
Standard Central European No pork meat Vegetarian Other
Registration till 16.6.2018. Registration confirmation will be sent via e-mail.