Final declaration on attendance, accommodation and fee payment

1
International conference
XII Forum on Scholarly and Technical Information
“Society – Information – Innovation Challenges of the Digital Age”
24-27 September 2013, Zakopane, Poland,
organized by the Polish Society for Information Science (Polskie Towarzystwo Informacji
Naukowej PTIN http://www.ptin.org.pl/) and the International Society for Knowledge
Organization ISKO-PL
We kindly ask you to fill in the form and send it back by e-mail to [email protected] by
the end of April 2013.
Final declaration on attendance, accommodation and fee payment
PERSONAL DATA

Name of the Delegate …………………….

Affiliation …………………….

Contact (the address, email, telephone) …………………….

Other information needed for your invoice ……………………..
CONTRIBUTION

The title of your paper, presentation or poster ………………………..

Abstract and keywords ………. (write it here or send as separate file)
ACCOMMODATION

Accommodation fee should be paid individually.
2

Please fill in the form below by indicating either your willingness to benefit from
rooms booked by the conference organizers in the Hotel Belvedere Resort &
Spa**** in Zakopane (the conference venue, http://www.belvederehotel.pl/en/)
or your wish to find accommodation by yourself.
Please make a reservation for me in the Hotel Belvedere Resort & Spa**** in
Zakopane
 24/25 September 2013
 25/26 September 2013
 26/27 September 2013
 in a single room (290 PLN per night, paid individually in the hotel, breakfast and
swimming pool use included)
 in a double room (190 PLN per night, paid individually in the hotel, breakfast and
swimming pool use included)
 I will find accommodation by myself
CONFERENCE FEE PAYMENT

The conference fee is 650 PLN (Polish zloty) (before 30 June 2013) or 750
PLN (Polish zloty) (after 30 June 2013).

Payment has to be made by 15 August 2013, at the last.

Please transfer the money (after receiving confirmation of participation) to the
following bank account:
POLSKIE TOWARZYSTWO INFORMACJI NAUKOWEJ
Bank: PKO BP S.A. Oddział 2 w Katowicach
Account number: BPKOPLPW 72102023130000350201451798
Do not omit to add: “XII Krajowe FORUM INT” and the name(s) of the delegate(s).
Date and Signature of the Delegate
…………………………………………………………………………..