Last name 

First name 

Position    

Department 

Organization / Study place

Mailing address

Area code and city 

Country 

Phone (office) 

E-mail 

Fax 

GSM / Mobile 

Registration fee

Social program

Pori City Tour on Friday 11^th, 2005                                                Yes      No

Reception at the City Hall on Friday 11^th, 2005                            Yes      No

Soirée at the Satakunta Museum on Saturday 12^th, 2005            Yes      No

Additional information

Payment of the registration fee   

    1)       Bank transfer to the city of Pori                                                                                   

Payment must be directed to the City of Pori .

IBAN: FI6580001100400671

SWIFT: PSPBFIHH

Bank address: Sampo Bank plc, Unioninkatu 22, 00075 Helsinki , Finland

Please make sure that your name and the word “SYMPOSIUM” are clearly stated on your payment!

    2)     Please send me an invoice to: