REGISTRATION FORM for participation in the International Conference „ORAL HISTORY IN CENTRAL-EASTERN EUROPE: CURRENT RESEARCH AREAS, CHALLENGES AND SPECIFICITY” 17th -18th September 2015 Organisers: Department of Sociology of Culture, University of Lodz Polish Oral History Association Institute of Philosophy and Sociology of the Polish Academy of Sciences European Network Remembrance and Solidarity Partners: Ukrainian Oral History Association Czech Oral History Association Conference venue: Faculty of Economics and Sociology, University of Lodz, Poland, 90-214 Lodz, 41/43 Rewolucji 1905 r. Street We would be very grateful if you complete and send this form to: oral.history.lodz@gmail.com NOT LATER THAN 28th February. Please fill in all required fields: Participant’s name: Country, city: Academic degree, title: Position: Name of affiliated institution: Paper title: Abstract (max 300 words): 1 Co-authors (with emails): Phone: E-mail: Payment (bold one): Meals (bold one): Normal fee: 60 EUR (250 PLN) PhD student fee: 25 EUR (100 PLN) Vegetarian Non-vegetarian Other requirements: Data needed for invoice – if the payments is made by the institution: Name of institution: Postal Address: VAT identification numer: Data needed for invoice – if the payments is made by you (through your personal bank account): Owner of the bank account: Postal address: INFORMATION: Conference Fee: The normal conference fee is 60 EUR (250 PLN for Polish participants). The PhD Student Conference Fee: 25 EUR (100 PLN for Polish participants). Fee covers: conference registration, lunches, refreshments and conference dinner. Conference fee payment: until May 31st, 2015 Bank transfer information: Bank account: 07 1240 3028 1111 0010 2943 4436 IBAN: PL 07 1240... SWIFT/BIC: PKOP PL PW The owner of the bank account is: Uniwersytet Łódzki, ul. Narutowicza 65, 90-131 Łódź The address of the bank branch: 270 Piotrkowska Street, 90-361 Lodz The currency of the account is: Zloty Please add: Oral History + [your name] If you have a problem with SWIFT code, just try to type it without spaces: PKOPPLPW or PKOPPL PW If you have any further questions, please contact: oral.history.lodz@gmail.com kajakaz@uni.lodz.pl annawylegala@gmail.com 2