SEDIMENT 2009, 24-25 June 2009 Registration Form Send this form by e-mail to: sediment09@uj.edu.pl If you want fax to: Sediment 2009, +48 12 633 22 70 please use type writer or write using block letters. Name: Affiliation: Address: Telephone: Fax: E-mail: I intend to present a paper entitled: a poster entitled: Excursions & Short Courses PRE-CONFERENCE FIELD TRIPS A1. 21-23 VI – Cenozoic freshwater carbonates in northern Slovakia – environmental controls on their origin. COSTS – 270 € A2. 22-23 VI – Sedimentation in front of progressing accretionary wedge: example from Paleogene of the Polish Carpathians. COSTS – 130 € A3. 22-23 VI –Evolution of the Tatric platform basins in Triassic time. COSTS – 200 € A4. 23 VI - Upper Jurassic carbonate platform sedimentation in Kraków Upland. COSTS – 60 € A5. 23 VI – Facies succession and its controls on the Upper Devonian – Lower Carboniferous carbonate platform of the Cracow Upland. COSTS – 60 € POST-CONFERENCE FIELD TRIPS B1. 26 –27 VI – Shallow marine carbonate sedimentation in tectonically mobile basin – the Muschelkalk of Silesia. COSTS – 170 € Note! – because we must pay the hotel reservation fee, the payment deadline for this excursion is 15 December 2008 B2. 26 – 27 VI – Devonian carbonate platform evolution of the Holy Cross Mts. COSTS – 160 € B3. 26 - 27 VI – The place of “block in matrix” complexes in evolution of the Outer Carpathian thrust and fold belt. COSTS – 120 € B4. 26 - 30 VI – A. Neogene evolution of the Eastern Carpathian foreland basin (eastern Poland and Ukraine) & B. Catastrophic sedimentary processes on the Silurian carbonate platform of Podolya, Ukraine. COSTS – 390 € B5. 26 - 28 VI - Tectonically controlled shallow marine sedimentation during late Cretaceous on the north-eastern peripheries of the Bohemian Basin. COSTS – 330 € THE COSTS COVER TRANSPORTATION, LUNCH AND ACCOMMODATION WITH BREAKFAST (THE LATTER FOR THE 2 DAYS+ - EXCURSIONS), THE INSURANCE IS NOT INCLUDED SHORT COURSES A. Ron Steel – Siliciclastics shelf margins revisited B. Alfred Uchman – Ichnology in facies analysis Each course is 35 € I WILL TAKE PART AT THE: Short Course: __A) __B) Excursion(s): Pre conference: First choice __) Second choice __) Post-conference: First choice __) Second choice __) Conference Party: 25 June 2009, (Euro 40, __) Conference Fees SEPM-CES members (before March 15, 2009): Euro 85,Non-members (before March 15, 2009): Euro 105,Students - SEPM-CES members (before March 15, 2009): Euro 50,Students - Non-members (before March 15, 2009): Euro 70,- NOTE! For late registration, after March 15, a surcharge of 25 € will be added. I will pay: Full fee___ € Reduced fee___ € (Please state reason for reduced fee ___________________________________) Registration Fee SEPM-CES member [ ] 85 € Non member [ ] 105 € SEPM-CES student member [ ] 50 € Student non member [ ] 70 € Conference party [ ] 40 € Accompanying person/social programme [ ] 50 € member number [...] member number [...] Please add your fees: Fee Registration € Conference party € Field trip(s) € Short course(s) € Accompanying person/social programme € TOTAL € 1. Refund of fees: In the case of cancelling your registration for the meeting and additional events you will get a refund of your fees reduced by 10 possible. € (per event) before May, 20. After May 20 refunding will not be 2. Note that the payment deadline for excursion B1 is 15th December 2008! Payment by bank transfer only! Please mark you name by the transfer operation! Bank data: Bank Account: SWIFT - PKOPPLPW, IBAN PL45 1020 2892 0000 5202 0181 6842 Account owner: POLISH GEOLOGICAL SOCIETY, Oleandry Str,2a, 30-063 Cracow, Poland. Phone – xx 12 – 663 24 71, Fax - xx 12 – 633 22 70, e-mail: PTG@ing.uj.edu.pl