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\par }{\rtlch\fcs1 \ab\af37\afs32 \ltrch\fcs0 \b\f37\fs32\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Advanced Concepts for}{\rtlch\fcs1 \ab\af37\afs32 \ltrch\fcs0 \b\f37\fs32\lang1033\langfe1040\langnp1033\insrsid7290188 
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Please print the form, fill it in and send the scanned version to}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188  }{\field{\*\fldinst {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188  HYPERLINK "mailto:acivs2016@gmail.com" }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid6300369 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4e0000006d00610069006c0074006f003a00610063006900760073003200300031003600400067006d00610069006c002e0063006f006d000000795881f43b1d7f48af2c825dc485276300000000a5ab00000000}}
}{\fldrslt {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \cs15\f37\fs22\ul\cf17\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid278303 acivs2016@gmail.com}}}\sectd \ltrsect\linex0\sectdefaultcl\sftnbj {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 
\par }{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 General Information
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Last Name:  }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 First Name:  }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Title (Prof./Dr./Mr./Ms}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 .}{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 ): }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Affiliation:}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Postal Address:}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 City Province/State: }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Postal Code: }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Telephone, Fax: }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 E-mail Address: }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par }\pard \ltrpar\ql \li0\ri-6\sl276\slmult1\nowidctlpar\tx8789\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Invoice data
\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\tx8789\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
Institution name and address, as on invoice (if other than the affiliation above)
\par }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 
\par }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab 
\par \tab \tab 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 VAT payer number or NIP (only EU/Polish participants): }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \tab }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
\par }\pard \ltrpar\ql \li0\ri-6\sl276\slmult1\nowidctlpar\tx8789\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Registration fees}{\rtlch\fcs1 
\ab\af0\afs22 \ltrch\fcs0 \b\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Please check a box}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid8587524  (please note that }{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 a}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549\charrsid10421549 t least one author of an accepted paper must register at the 
}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 REGULAR}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549\charrsid10421549  rate even if the author is a student}{
\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 )}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 :}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10421549\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth392\clshdrawnil \cellx284\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4210\clshdrawnil \cellx4494
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2302\clshdrawnil \cellx6796\pard \ltrpar\ql \li0\ri-6\sl276\slmult1\nowidctlpar\intbl\tx8789\wrapdefault\faauto\rin-6\lin0 
{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10421549 Regular \endash  No IEEE Member}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10421549 550  EUR}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \trowd \irow0\irowband0\ltrrow\ts16\trgaph70\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10421549\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth392\clshdrawnil \cellx284\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4210\clshdrawnil \cellx4494
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2302\clshdrawnil \cellx6796\row \ltrrow}\pard \ltrpar\ql \li0\ri-6\sl276\slmult1\nowidctlpar\intbl
\tx8789\wrapdefault\faauto\rin-6\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10421549 Regular - IEEE Member}{\rtlch\fcs1 \af37\afs22 
\ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10421549 500  EUR}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell 
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \trowd \irow1\irowband1\ltrrow\ts16\trgaph70\trleft-108
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10421549\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth392\clshdrawnil \cellx284\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4210\clshdrawnil \cellx4494
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2302\clshdrawnil \cellx6796\row \ltrrow}\pard \ltrpar\ql \li0\ri-6\sl276\slmult1\nowidctlpar\intbl
\tx8789\wrapdefault\faauto\rin-6\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10421549 Student (student ID required)}{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \cell }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10421549 350  EUR}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 
\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 \trowd \irow2\irowband2\lastrow \ltrrow
\ts16\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10421549\tbllkhdrrows\tbllkhdrcols\tbllknocolband\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth392\clshdrawnil \cellx284\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4210\clshdrawnil \cellx4494
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2302\clshdrawnil \cellx6796\row }\pard \ltrpar\ql \li0\ri-6\sl276\slmult1\nowidctlpar
\tx8789\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid10421549 
\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\insrsid2954957 \page 
\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\tx8789\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid12197763 Papers}{\rtlch\fcs1 \ab\af0\afs22 
\ltrch\fcs0 \b\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid12197763 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid12197763 Papers ID number}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid12197763\charrsid12197763 (}{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid12197763 s}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid12197763\charrsid12197763 )}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid12197763 : \tab }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid12197763 
\par }{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Note that the registration fee covers only one paper. If you are registering more papers please pay }{\rtlch\fcs1 \ab\af37\afs22 
\ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 200}{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 EUR for each additional paper.
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Number }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid12197763 (and ID) }{\rtlch\fcs1 \af37\afs22 
\ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 of additional papers:\tab 
\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Additional fees}{\rtlch\fcs1 
\ab\af0\afs22 \ltrch\fcs0 \b\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
\par \ltrrow}\trowd \irow0\irowband0\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10\brdrcf18 \trbrdrl\brdrs\brdrw10\brdrcf18 \trbrdrb\brdrs\brdrw10\brdrcf18 \trbrdrr\brdrs\brdrw10\brdrcf18 
\trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10\brdrcf18 \clbrdrl\brdrs\brdrw10\brdrcf18 \clbrdrb\brdrs\brdrw10\brdrcf18 \clbrdrr\brdrs\brdrw10\brdrcf18 
\cltxlrtb\clftsWidth3\clwWidth2943\clshdrawnil \cellx2835\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf18 \clbrdrl\brdrs\brdrw10\brdrcf18 \clbrdrb\brdrs\brdrw10\brdrcf18 \clbrdrr\brdrs\brdrw10\brdrcf18 \cltxlrtb\clftsWidth3\clwWidth6269\clshdrawnil \cellx9104
\pard \ltrpar\ql \li0\ri-6\nowidctlpar\intbl\tx8789\wrapdefault\faauto\rin-6\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
Extra ticket for social events (welcoming reception, banquet, city tour):\cell }\pard \ltrpar\ql \li0\ri-6\nowidctlpar\intbl\tx8789\wrapdefault\faauto\rin-6\lin0\pararsid15020330 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Number of tickets ______x}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2297426 1}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid15020330 2}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 0 EUR\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 \trowd \irow0\irowband0\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10\brdrcf18 \trbrdrl\brdrs\brdrw10\brdrcf18 \trbrdrb\brdrs\brdrw10\brdrcf18 \trbrdrr\brdrs\brdrw10\brdrcf18 \trftsWidth1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10\brdrcf18 \clbrdrl\brdrs\brdrw10\brdrcf18 \clbrdrb\brdrs\brdrw10\brdrcf18 \clbrdrr\brdrs\brdrw10\brdrcf18 \cltxlrtb\clftsWidth3\clwWidth2943\clshdrawnil \cellx2835\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf18 \clbrdrl\brdrs\brdrw10\brdrcf18 
\clbrdrb\brdrs\brdrw10\brdrcf18 \clbrdrr\brdrs\brdrw10\brdrcf18 \cltxlrtb\clftsWidth3\clwWidth6269\clshdrawnil \cellx9104\row }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \ab\af0\afs22 
\ltrch\fcs0 \b\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
\par }{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Total amount of payment}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 

\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\tx4536\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Total amount of payment: }{\rtlch\fcs1 
\af0\afs22 \ltrch\fcs0 \fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid6300369 \tab }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 EUR}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 
\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
\par }{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 Method of payment}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\fs22\ul\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 

\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 Copy of the pa}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid5703250\charrsid7290188 y}{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 ment should be sent together with this registration module.
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 The total fee should be paid }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 by}{
\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid6300369 :}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188  
\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\tx4536\wrapdefault\faauto\rin-6\lin0\itap0\pararsid13509442 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 - Credit Car}{
\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid5703250\charrsid7290188 d}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188  }{\rtlch\fcs1 \af37\afs22 
\ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid5703250\charrsid7290188 by PAYPAL (with additional fee due to paypal extra)}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188 
 -> see the link on the website}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 
\par - or by B}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 ank transfer to the following account:}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 
\par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 Beneficiary}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 : Associazione }{
\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid5384045 Think 4 Vision}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 \line }{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 Beneficiary Address}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 : }{\rtlch\fcs1 
\af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid5384045 via Gallipoli, 95\line 73024 \endash  Maglie (LE) }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 \line }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 Beneficiary Fiscal Code}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 : }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid5384045 92029170757}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid5384045\charrsid5384045 \line }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid12142291\charrsid5384045 Beneficiary }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid5384045 Partita}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid5384045\charrsid5384045  }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid5384045 IVA: }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid5384045\charrsid5384045 04812970756}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 \line }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid2297426 Bank}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 : }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 BANCA PROSSIMA S.P.A}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 \line }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid2297426 Bank Address}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 :}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188  }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid6300369\charrsid6300369 PIAZZA PAOLO FERRARI 10}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 \line MILANO Italy}{\rtlch\fcs1 \af37\afs22 
\ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 \line BIC SWIFT CODE: }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 BCITITMX}{\rtlch\fcs1 \af37\afs22 
\ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 \line }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid2297426 IBAN}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188  }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid6300369\charrsid6300369 IT04A0335901600100000143363}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid6300369  }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188  }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 \line }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\b\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid2297426 REFERENCE/CAUSAL}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188 : }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 \'93}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188 <}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188\charrsid7290188 Please insert your complete name}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188 >}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188  ACIVS 201}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid6300369 6}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid7290188  REGISTRATION}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\lang1033\langfe1040\langnp1033\insrsid7290188 \'94}{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 
\f37\fs22\lang1033\langfe1040\langnp1033\insrsid13509442\charrsid5384045 
\par }\pard \ltrpar\ql \li0\ri-6\sa200\sl276\slmult1\nowidctlpar\tx4536\tx8789\wrapdefault\faauto\rin-6\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\ul\lang1033\langfe1040\langnp1033\insrsid2954957\charrsid7290188 
IMPORTANT: exchange rates and bank transfer commissions are at your charge.
\par Please attach the bank transfer confirmation receipt while sending the registration form.
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