2nd Student Workshop on Ecology and Optics of Coastal Zones
Kaliningrad, Russia, 19-23 July 2016
http://www.earsel.org/SIG/ET/2nd-student-workshop/

REGISTRATION  FORM

Name*	Surname*	Area of study*	
     	     	     	

University*	Street address*	City*	
     	     	     	

State/Province	Postal/Zip code*	Country*	
     	     	     	
	
Telephone number*	email*	
     	     	
* mandatory
Date of Arrival	Date of Departure	
     DD/MM/YY	     DD/MM/YY 	

Please return the completed registration form and a scanned copy of your student card 
no later than 1 April 2016 to: 

Rainer Reuter, University of Oldenburg, Institute of Physics, D-26111 Oldenburg, Germany
E-mail: rainer.reuter@uni-oldenburg.de 

PAYMENT AFTER WRITTEN ACCEPTANCE OF YOUR REGISTRATION 
Registration Fee 	Until 15 April 2016: 100 Euros	After 15 April 2016: 120 Euros	
The registration fee includes the printed Programme and Abstract Book, participation in the excursion, experiments with hydrographic and optical instruments, scientific/technical documents, coffee breaks and icebreaker.

   BANK TRANSFER no later than 1 June 2016 net of charges to the EARSeL account at 
Sparkasse Hannover, Engelbosteler Damm 14/16, D-30167 Hannover, Account number: 900132493, Bank code: 25050180, IBAN: DE68 2505 0180 09001324 93, SWIFT or 
BIC Code: SPKHDE 2H

  Credit Card (scanned form sent by e-mail, or regular mail):	 VISA	   MasterCard
     Card holder:              Valid through:     /  

     Card number:                       Verification code:     

Signature: ______________________________________

When using credit card payment please return the completed form no later than 1 June 2016 to: 

Ms. Heide Bierbrauer, EARSeL Secretariat
Wasserweg 147, 48149 Münster, Germany 
E-mail: secretariat@earsel.org