Application form

www.micropresseurope.eu

Short Course on Radiolaria,

and the oceanic silica and carbon cycles

Micropress Europe Offices, AGH University of Science & Technology,

Kraków, July 17 – 21, 2017

Name

Institution

Address

Phone: Office ……………………………………………………………….

e-mail………………………………………………………………………..

Course registration fees (tick as appropriate):

Academic/Industrial staff - £525 (€ 675 euro) Student's discount price - £395 (€ 510 euro)

Course Textbook: “Middle Jurassic to Lower Cretaceous Radiolaria of Tethys: Occurrences, Systematics, Biochronology" edited by P.O. Baumgartner et al.: € 45 euro.

☐ Send to my home address (add € 20 for shipping) ☐ I will collect the book at the course.

Registration is confirmed upon receipt of payment in Euro (€) by direct bank transfer. The course fee should be paid into the following bank account:

Account name: Fundacja Mikropaleontologiczna Micropress EuropeBank address: Raiffeisen Bank Polska S.A., ul. Piekna 20, 00-549 WarszawaSWIFT: RCBWPLPWIBAN: PL91 1750 0012 0000 0000 2841 0832

Currency of account: Euro (€). Please contact us for further instructions if you wish to pay inPounds Sterling or in US Dollars.

Reason for payment: participant’s name and “Radiolaria Short Course”

As soon as you have a copy of the bank transfer, please send it by e-mail to: info@micropresseurope.eu

Venue: Micropress EuropeAGH University of Science & TechnologyBuilding A0, Second floor, next to the model dinosaur Al. Mickiewicza 3030-059 Krakow, Poland. Bus stop “AGH” on the nr. 292 bus route from Krakow airport.

The registration fee includes:

• Tuition fees (5-day course)• Lecture notes, handouts, pdfs of presentations, pdfs of reprints. • Icebreaker & End-of-Course Dinner• refreshments

How to submit an application: Please submit this application form to: info@micropresseurope.eu