Group Registration-IS 23

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As a way of promoting group participation, mESC-IS would cover a part of the expenses and will allow a 30 % reduction in the registration fee. To be eligible for group registration, a minimum of three participants are required.

A- LEADING RESEARCHER
(Please enter the participant -normally leading researcher- who would handle the registration with whom INNOVASCOPE will be in contact)

A1 NAME SURNAME

A2 NATIONALITY

A3-PASSPORT /RESID/TCKN No

A4 POSITION

A5 INSTITUTION and DEPARTMENT

A6 E-MAIL

A7 PHONE ( cellular preferred )

A8 ABSTRACT NUMBER, (enter zero if none /enter abstract number(s) separate with comma if more than one, )

A9 REGISTRATION FEE, ( please enter the amount and the unit, Lira :₺, Euro:€ or USD: $, )

B- GROUP MEMBERS
(Please enter group members using exactly the same format as above separated by”,”)

Leading Researcher (the same as above)

Group Member 2

Group Member 3

C- REGISTRATION FEE

C1 Total Registration Fee (Please sum up registration fees as entered above)

C2- Total Registration Fee after Group Reduction -multiply ( C1) by 0.70 and enter below)

Select Currency Unit

D- INVOICE INFORMATION
Please enter below the invoice information

D1 Invoices

PLease enter e-mail addresses to whom invoices are to be sent (Normally e-mail address of the leading researcher )

D- ADDITIONAL INFORMATION

Please enter, if necessary, your comments regarding this registration

PAYMENT

Please transfer the registration fee ( the amount in C2) + 18 % VAT to .

ACCOUNT Holder : INNOVASCOPE LTD Sti
BANK: TÜRKİYE İŞ BANKASI -TURKEY
Branch:ANKARA Girişimcilik Şubesi
SWIFT CODE :ISBKTRIS

ACCOUNT NUMBER (*) (Turkish Lira) IBAN: TR70 0006 4000 0014 3700 1229 66
ACCOUNT NUMBER(**) (EURO): IBAN TR44 0006 4000 0024 3700 1346 81
ACCOUNT NUMBER(***) ( US Dollar): IBAN TR40 0006 4000 0024 3700 1365 96

The payer must pay his/her bank charges incurred for this transaction.

(*) Branch code: 4370 Account No: 1229 66
(**) Branch code: 4370 Account No: 1346 81
(***)Branch code: 4370 Account No: 1365 96

DOCUMENTS to be sent

Please send a copy of the bank transfer as a proof of payment to m-t@mesc-is.org

The receipt of payment will be acknowledged on this web site or via e-mail within a week . If not please send an e-mail to m-t@mesc-is.org

IMPORTANT : The form and all information should be complete. If incomplete a new – full- submission should be re- made. New submission will replace the previous one . Submission part by part therefore is NOT possible