Academic title
First name/s
Last name
Your email address
Confirm email address
Mailing address
* Phone no. (+    )
* Institution
* Faculty/Department
(The fields marked
with *are optional)
Accompanying person
(If yes, please enter
the name below)
* First name/s
* Last name
For additional information and in case of doubts do not hesitate to contact us at

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Registration fees:

200 EUR (800 PLN)

Student (for a 'junior' members
of AIP under 30 years old):
50 EUR (200 PLN)

Accompanying person:
100 EUR (400 PLN)

In case of withdrawal from participation in the congress after the 1st of June the cost of the gala dinner (ca. 50 euros) will be deducted from the conference fee refund. Congress fees will not be refunded after the 1st of July.

Bank transfer payable to:

Fundacja im. Rafała Taubenschlaga
Krakowskie Przedmieście 26/28
00-927 Warszawa

NIP: 525-22-47-010

(+48 22) 552 0388
(+48 22) 552 2815

Account no.:
PL37 1090 1883 0000 0001 0772 6939


Description of the money transfer: Name of the Participant, Congress Fee

The bank fee must be borne by the sender.

Please send proof of payment to:

Credit card payment is provided by:

No cash transactions are possible.