The 4th International Conodont Symposium “Progress on Conodont investigation” Subcommission on Devonian Stratigraphy (ISDS) Subcommission on Silurian Stratigraphy (ISSS) Joint Meeting and Fieldtrips Valencia, Spain; 25-­‐30 June 2017 Registration Form Please fill and return form until December 15, 2016 (pre-­‐registration) and February 15, 2017 (early registration deadline) via email-­‐attachment (either as PDF or word.doc-­‐file) to Conference e-­‐mail address: [email protected] (please use large X to tick boxes: [X]) [ ] Ms. / [ ] Mr. Title(s): Surname: …………………….……………………....First (and Middle names): ...………….……………………… Institution: ……………………………………..………………………………………………………… Address: …………………………………………………………………………………………………. Postal (zip) code: ………..………………………………………………………………………………. Country: ………..……………………………………City: ………..…………………………...………. Cell Phone: ………..…………………………...………… e-­‐mail: …………..………………….……………… I need an invitation letter for visa support [ ] YES [ ] NO. I will give an [ ] oral [ ] poster presentation entitled: (please provide tentative title) …………………………………………………………………………………………………..………...……………………………… Early registration Conference fees (please tick box): [ ] regular participant: 300 Euros [ ] student: 180 Euros [ ] accompanying person: 100 Euros [ ] Conference Dinner (details to be announced in 2nd circular) *please tick: I prefer vegetarian food or special diet (gluten sensitive…) [ ] YES [ ] NO Fieldtrips registration fees (please tick box): [ ] Spanish Pyrenean Pre-­‐conference Fieldtrip: June 20 -­‐ 25. Estimated cost is 600 Euros. [ ] Iberian Middle-­‐conference Fieldtrip: June 28. Estimated cost is 30 Euros. [ ] Prague Synform and Carnic Alps Post-­‐conference Fieldtrip: July 1 -­‐ 9. Estimated cost is 1,100 Euros. The flight from Valencia to Prague is NOT included.