frAU - Women in Academia: Barriers and Good Practice

18 - 19 May 2009
Aarhus University - Denmark

Registration form

Please register before 7 May 2009

Surname/ last name

Given name/ first name

Title

Institution/ company

Department

Postal address

Postal code

City

Country

Phone

Fax

Mobile

E-mail

Vegetarian

Registration fee

Participant - DKK 2000 (EUR 270)

Student - DKK 1000 (EUR 135)

Invited speaker - DKK 0 (EUR 0)

I want to present my poster(s) - (size 70 x 100)

Please state no. of posters

Parallel workshop - 15:30 - 17:30 (please tick one workshop)

Social programme

Welcome reception at the City Hall - Monday 18 May at 19:00-20:00

Social Dinner in Turbinehallen - Monday 18 May at 20:00-23:00

Total

DKK

Payment

Transferred to: ”frAU”, c/o KongresKompagniet, Account No. 3643-3632584598, Danske Bank, Holmens Kanal 2-12, DK-1092 København K, Danmark. IBAN: DK33 3000 3632 5845 98, S.W.I.F.T./BIC: DABA DKKK. Please state ”frAU” on all your payments.

Online payment (please have your credit card ready for online payment when you have submitted the form)

Eletronic invoice - please state your EAN no in the box below

EAN no. (13 numbers)

Accommodation

To obtain the stated room prices you must book through KongresKompagniet by filling out and submit this form.

I have arranged my own accommodation

Hotel Cab Inn - commodore - single room DKK 635 (EUR 85)

Hotel Cab Inn - commodore - double room DKK 825 (EUR 110)

Hotel Cab Inn - economy - single room - DKK 545 (EUR 75)

Please state alternative accommodation

Payment for accommodation directly to the hotel upon departure.

I wish to share a double room with (state name)

Arrival

Departure

Please note if you have any special requests

The registration form is sent to:
KongresKompagniet – Nordhavnsgade 1 – DK-8000 Århus C
Phone: +45 8629 6960 – Fax: +45 8629 6980
Mail: frau@kongreskompagniet.dk