7 1 M E 2 0 C T www.imcet.org.tr I UCTEAChamberofMiningEngineers UCTEA Chamber of Mining Engineers of Turkey th 25 InternationalMiningCongressand 25th International Mining Congress and Exhibition of Turkey ExhibitionofTurkey April11-142017,Antalya 11-14 April 2017 Antalya / TURKEY DELEGATEREGISTRATIONFORM ImportantNote: Inordertofinishtheregistration,thisform(3pages)havetobefilledcompletelyandbankreceipt(Inthecaseof whenmoneyorderispreferred)[email protected] address. finalapplicationdate:April05th2017 Nameand : Occupation : Surname Company/ : Institution OfficePhone : Fax : Number MobilePhone : e-mailaddress : Number Address : PaperName : (Onlyforauthors) Delegaterelevantinformation: DelegateClasses: Therearethreeoptionfordelegateregistrationtheseare“Fulldelegacy”,“Accompanying”and“DailyAttendant” chargesofthestandardpackageandotherregistrationoptionsareprovidedbelow. StandardPackage *3Nightall-inclusiveaccommodationat5-starhotel(forApril11-12-13,2017nights), *Freeparticipationtoallsessions,exhibition,openingceremonyandspecialsessions, *Freeparticipationtoopeningcocktail,galadinnerandallculturalexhibitions, *Freebreakfast,lunchanddinneralongthecongress. CongressRegistrationFees(Pleasefill-intheregistrationclasswithtickmark(√)) Before After RegistrationClass Package February February 1st 1st □ FullDelegacyA StandardPackage+Singleaccommodation+Congressbag* 500€ 550€ □ FullDelegacyB StandardPackage+Accommodationinadoubleroom(with anotherdelegate)+Congressbag* 350€ 400€ □ Accompanying StandardPackage 250€ 275€ *Congressbagincludes;Congressprogram,identificationbadge,pencilandwritingpad,gift,digitalcongressbook. Ourchamberisapublicoccupationalorganizationfoundedunderthe135tharticleoftheconstitutionrelatedwith6235lawno. Our chamber is a public occupational organization founded under the 135th article of the constitution related with 6235 law no. Address:MadenMühendisleriOdasıSelanikCad.19/4 E-Mail:[email protected] Address:06650Kızılay,Çankaya–Ankara/TURKEY Maden Mühendisleri Odası Selanik Cad. 19/4 http://www.imcet.org.tr E-Mail: [email protected] Phone:+903124251080Fax:+903124175290 06650 Kızılay, Çankaya – Ankara / TURKEY http://www.imcet.org.tr Phone: +90 312 425 10 80 Fax: +90 312 417 52 90 1 M 7 I E 2 0 C T UCTEAChamberofMiningEngineers UCTEA Chamber of Mining Engineers of Turkey th 25 InternationalMiningCongressand 25th International Mining Congress and Exhibition of Turkey ExhibitionofTurkey 11-14 April 2017 Antalya / TURKEY April11-142017,Antalya www.imcet.org.tr Dailyattendancewithoutaccommodation Dailyattendancewithaccommodation Onlyapplicabletoparticipantswhowantsto Onlyapplicabletoparticipantswhowantsto participatetothecongresswithoutaccommodationat participatetothecongresswithaccommodationat givendate(s). givendate(s). (Nocongressbagisprovidedtothedailyattendees.) (Nocongressbagisprovidedtothedailyattendees.) (Pleaseinfilltheparticipationdate(s)withtickmark(√)) (Pleaseinfilltheparticipationdate(s)withtickmark (√)) Day Day □ April112017,Tuesday 100€ □ April112017,Tuesday 200€ □ April12,2017,Wednesday 100€ □ April12,2017,Wednesday 200€ □ April13,2017,Thursday 100€ □ April13,2017,Thursday 200€ □ April14,2017,Friday 100€ □ April14,2017,Friday 200€ Accommodationbeforethecongress Accommodationafterthecongress (Pleaseinfilltheaccommodationdate(s)with (Please infill the accommodation date(s) tickmark(√)) withtickmark(√)) Day Day □ April09,2017,Sunday(Singleroom) 125€ □April14,2017,Friday(Singleroom) 125€ □ April10,2017,Monday(Singleroom) 125€ □April15,2017,Saturday(Singleroom) 125€ □April09,2017,Sunday(Doubleroomper □April14,2017,Friday(Doubleroomper 100€ 100€ person) person) □April10,2017,Monday(Doubleroomper □April15,2017,Saturday(Doubleroom 100€ 100€ person) perperson) Transfers Duringthecongresstransferwillbeprovidedatpredeterminedhours. (Pleasefillthetableforyourrequest.) Date ArrivalTime FlightNo. Fee □ AntalyaAirport–StarlightHotel 30€/person □ StarlightHotel-AntalyaAirport 30€/person TotalAmount(Pleasefillthetablebelowbasedonyourrequest): Choices Fee Registrationfee …………………€ Dailyattendance …………………€ Accommodationbeforeandafterthecongress …………………€ Transfers …………………€ Total …………………€ Explanations(Ifany)………………………………………………….............……………………………………..……………….………………………... ………………………….................................................…………………………………………………………..……………….………………………... chamber is a public occupational organization founded under the 135th article of the constitution related with 6235 law no. Our Ourchamberisapublicoccupationalorganizationfoundedunderthe135tharticleoftheconstitutionrelatedwith6235lawno. Address: Maden Mühendisleri Odası Selanik Cad. 19/4 E-Mail: [email protected] Address:MadenMühendisleriOdasıSelanikCad.19/4 E-Mail:[email protected] 06650 Kızılay, Çankaya – Ankara / TURKEY http://www.imcet.org.tr http://www.imcet.org.tr 06650Kızılay,Çankaya–Ankara/TURKEY Phone: +90 312 425 10 80 Fax: +90 312 417 52 90 Phone:+903124251080Fax:+903124175290 7 1 M E 2 0 C T www.imcet.org.tr I UCTEAChamberofMiningEngineers UCTEA Chamber of Mining Engineers of Turkey th 25 InternationalMiningCongressand 25th InternationalExhibitionofTurkey Mining Congress and Exhibition of Turkey April11-142017,Antalya 11-14 April 2017 Antalya / TURKEY FormofPayment: Paymentscanbemadewithmoneyorderorcreditcard.(Pleasesignyouroption.√) □ PaymentwithMoneyOrder Paymentcanbemadetothe“TMMOBMadenMühendisleri Odasıİktisadiİşletmesi”usingthebankaccountbelow. Bankaccountinformation: TürkiyeİşBankası(BankCode:64) MeşrutiyetBranch(Ankara)(BranchKodu:4213) SWIFTCode:ISBKTRISXXX IBAN:TR870006400000242130894776 *Pleasedonotforgettowrite;(DelegateNameandSurname)and(Company/Institution)toexplanationspart. □ PaymentwithCreditcards Pleasewithdrawtotalfeeformmycreditcard. NameandSurnameofthe CreditCardHolder : CardNumber(16digit) : Creditcardverificationcode (CCV)(3digit) : Expirationdate : Total : Date : Signature : ImportantNotification:Inordertofinishtheregistration,thisform(3pages)havetobefilledcompletelyand bankreceipt(Inthecaseofwhenmoneyorderispreferred)havetobefaxedtothe+903124175290orsendto [email protected]. Pleasedonotforgettoapplicationformandreceiptofpayment(Ifpaymentmadewithbankorder)withyou! Our chamber is a public occupational organization founded under the 135th article of the constitution related with 6235 law no. Ourchamberisapublicoccupationalorganizationfoundedunderthe135tharticleoftheconstitutionrelatedwith6235lawno. Address:Address:MadenMühendisleriOdasıSelanikCad.19/4 Maden Mühendisleri Odası Selanik Cad. 19/4 06650Kızılay,Çankaya–Ankara/TURKEY 06650 Kızılay, Çankaya – Ankara / TURKEY Phone:+903124251080Fax:+903124175290 Phone: +90 312 425 10 80 Fax: +90 312 417 52 90 E-Mail:[email protected] E-Mail: [email protected] http://www.imcet.org.tr http://www.imcet.org.tr
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