Registration form First name: Last name: Affiliation



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Data09.05.2016
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Approaches to Phonology and Phonetics (APAP) 2015

Phonology and its interfaces

June 19-21, 2015


Lublin, Poland
Registration form

First name:

Last name:

Affiliation:

Academic title:

E-mail address:

City:

Country:

Title of paper: __________________________________________

A laptop and data projector will be available for all presenters. Please note any special requirements:



Dietary restrictions:






Other comments:





Details for invoice
Name and address details for invoice (If the university/institution you are affiliated to is paying for your participation in the conference, please provide its name, address and Taxpayer Identification Number. If not, please provide your own details.)


  1. University/Institution, or first and last name*:







  1. Address with Post Code*:






  1. Taxpayer Identification Number (NIP):

Amount due of 100 Euro to be transferred to the account number:

Recipient's name: Katolicki Uniwersytet Lubelski Jana Pawła II

Recipient’s address: al. Racławickie 14, 20-950 Lublin
Bank name: PEKAO S.A. III O/Lublin
IBAN code: 59124023821111000039262147
Swift code: PKOPPLPW
Title of payment: APAP + your name
Please note that there will be no refunds for absence or cancellations.
I hereby authorise the John Paul II Catholic University of Lublin to issue the invoice without my signature.

Please, send the invoice to the following address:





* obligatory


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