Registration Form
Bronze Conservation Colloquium 2012 // 22nd to 23rd June 2012
State Academy of Art and Design Stuttgart
Am Weißenhof 1, D-70191 Stuttgart, Germany
http://www.bronze-colloquium.abk-stuttgart.de
Please fill in this form completely and send it back to bronze-colloquium@abk-stuttgart.de.
Title
Name
Institution
Adress
Country
email
Conference Fee (incl. coffee & conference brochure):
50 € Regular
35 € Members of ICOM-CC, VDR, etc.
10 € Conservation Students & Interns (please show proof of status at registration desk)
0 € 1st Author (Conference Fee plus Party is free for one author of every contribution)
0 € Stuttgart conservation students & lecturers
Get-together
15 € food & drinks incl. on Friday, June 22nd
Participation?
yes
no
1
Payment in advance. Since space is restricted by lecture hall capacity, seats will be
allocated in the order of payment receipt. Unfortunately, no exceptions will be possible.
Please remit the amount to the following account with indication of name and reason for
transfer. Please make sure that any transaction fee has to be covered by you, not the
remittee.
Empfänger/Remittee
Landesoberkasse Baden-Württemberg
Kontonummer/Account
7495530102
Bankinstitut/Bank
Landesoberkasse Baden-Württemberg
Bankleitzahl/Bank Code
60050101
IBAN
DE02600501017495530102
SWIFT-CODE
SOLADEST
Verwendungszweck/ Reason for transfer
1187210002684
DON’T FORGET TO INDICATE THE REASON FOR TRANSFER ! DON’T FORGET TO
INDICATE YOUR NAME ! WITHOUT THESE SPECIFICATIONS YOUR REGISTRATION
WILL FAIL !
2