Dalton page Roel Röhner: Registration form Dalton Congress in Austria

January 5, 2017

Herewith I subscribe for the International Dalton-Congress in Deutschlandsberg Austria!

Registration Form
NAME, FIRST NAME, TITLE
PERSONAL ADDRESS (address, city, post code, country)
PHONE (incl. internat.code)
EMAIL
SCHOOL – INSTITUTION (name, address)
YOUR POSITION
WEB ADDRESS

Date of arrival
Date of departure
City of arrival (Vienna or Graz)
Airport or Railway station

Please make a reservation for me in B&B JUFA ¨ yes ¨ no

(Price per night incl. breakfast buffet € 50,-)

Single room ¨ Double room ¨

The conference fee of € 55 has to be paid in advance. After your registration you will get a confirmation with the bank details.

(included are drinks, lunch on the conference-day, concert and buffet and the participation in the tour on 26. May)

Date: ____________________________

Signature: ___________________________________

Send this form to :

and cc to :

January 5, 2017