+-------------+--------------------------------------------------------+
| ![](me      | **European Wheat Aneuploid Co-operative**              |
| dia/image1. |                                                        |
| wmf){width= | Prague, CR                                             |
| "1.56597222 |                                                        |
| 22222223in" | 27 June - 2 July 2005                                  |
| height=     |                                                        |
| "1.01111111 |                                                        |
| 1111111in"} |                                                        |
+-------------+--------------------------------------------------------+

###  FINAL REGISTRATION FORM

**Please type or use block letters**

**DELEGATE DETAILS**

Family name First name(s)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Title \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Institution

Mailing address

Post code Country

Telephone Fax

E-mail

Accompanying Person Name (if applicable)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of arrival Date of departure

Any Special Dietary Requirements i.e. Vegetarian/Diabetic/or Other
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Accommodation of 50 single rooms at special discounted prices has been
reserved at the Hotel Pyramida\*\*\*\*, the venue of the Meeting,
Bělohorská Street 24, CZ 169 01 Praha 6 ;
<http://www.hotelpyramida.cz/index.htm> ; provided for by the ESTEC
LTD.-Czech Incoming Tour Operator & Hotel Management
Company[,](http://www.hoteldiscount.cz/prague_hotel.htm) Vanickova 5/1,
169 00 Prague 6, CR, <estec@estec.cz> , for the nights of 27 June -2
July 2005. Cost is per person for the full five nights on a bed and
breakfast basis including all taxes. If you wish to use other
accommodation as an alternative to the Pyramida, a list of local hotels
and guesthouses is available at <http://www.czechbyclick.com/> which is
operated by the ESTEC LTD, <stejna@estec.cz>. A reservation for
attendance and accommodation at the Pyramida can only be made if the
Registration Fee and full accommodation cost is paid by 30 March 2005.
You may pay by bank transfer, or credit card, in Euros -- **please
select your choices carefully and mark with a tick.**

All the other conference services are also provided by the ESTEC LTD.,
<estec@estec.cz>.

**REGISTRATION:**

The delegate registration fee covers Welcome Buffet Supper, Coffee break
refreshments, Lunches, Social Events/Excursions, Transfers, Abstracts,
delegate pack and one copy of the Proceedings. The accompanying person
fee includes Welcome Buffet Supper, Transfers, One-day excursion, boat
trip with dinner and music.

  --------------------------------------------------------- -------------
                                                            Price Euros

  Delegate Registration Fee                                 440

  Accompanying Person Fee including lunches                 150

  Accompanying Person Fee without lunches                   95
  --------------------------------------------------------- -------------

**PYRAMIDA ACCOMODATION:**

If you are sharing a double room please give the name of the person you
are sharing with, you may wish to share with an accompanying person or
another delegate

  ---------------------------------------------------------- ------------
                                                             Price Euros

  Single room for 5 nights on a bed and breakfast basis      370

  Double room for 5 nights on a bed and breakfast basis 2    440
  persons                                                    

  Extra nights single room x nights on a bed and breakfast   76
  basis                                                      

  Extra nights double room x nights on a bed and breakfast   88
  basis                                                      
  ---------------------------------------------------------- ------------

#### 

#### 

#### 

#### TOTAL COSTS:

Please insert your costs from the ticked boxes above and calculate the
total cost

  --------------------------------------------------- -------------------
                                                      Cost in Euros

  Delegate Registration Fee                           

  Accompany Person Fee with/without lunches           

  Accommodation Single Room                           

  Accommodation Double Room (Sharing with )           

  Extra nights single/double room                     

  **Total Cost**                                      
  --------------------------------------------------- -------------------

  -----------------------------------------------------------------------
  **Payment can be made by bank transfer to the following account:**

  Please send you payment to ESTEC s.r.o., bank address: Komerční Banka,
  pobočka Praha - Pohořelec, Pohořelec 22, Praha 1, Czech Republic

  Acc: EUR - 274698670257/0100, SWIFT : KOMBCZPP

  IBAN CODES: CZ7301000000274698670257
  -----------------------------------------------------------------------

**OR**

  ---------------- ------- ------- ------- ------- ------- ----------------------------
  **Payment can be                                         
  made by credit                                           
  card -- please                                           
  indicate the                                             
  type of card and                                         
  fill in the                                              
  details below:**                                         

  VISA, EC/MC,                                             
  American Express                                         

  Credit card no :                                         

  Control code no:                                         

  ( the number                                             
  written at the                                           
  signature field)                                         

  Card holder's                                            
  name:                                                    

  Expiry date:                                             

                                                            

  **Please charge                                          
  my credit card                                           
  with                                                     
  ..............                                           
  Euros for EWAC                                           
  2005 meeting                                             
  fees.**                                                  

  **Signature of                                           
  cardholder:**                                            
  ---------------- ------- ------- ------- ------- ------- ----------------------------

**CANCELLATION POLICY:**

14 days prior to arrival : free of charge

13 - 7 days prior to arrival : fee of 100 % of the first night price

6 - 1 days prior to arrival or no-show : fee of 100 % of total price

I understand that if I wish to cancel my booking full reimbursement may
not be possible.

Signed.......................................
Date.....................................

***Please complete, sign and return this form together with your payment
instructions by 30 March 2005 to:***

Mrs Katerina Pankova

Research Institute of Crop Production

Drnovská 507

161 06 Prague 6 - Ruzyne

CR

<k.pankova@vurv.cz>

fax: +420 233 022 286