Registration Form Magnolia Society International 2015 Annual Meeting, Magnolia Tour of Poland Registration: opened on October 1, 2014, closed on November 30, 2014 Participation is limited. Registrations will be accepted in the order in which they are received. Registrant Name ________________________________________________________ Registrant Address ______________________________ City _______________ State/Province ___________ Postal Code _______ Country _______________ Telephone Number E-mail address ________________________________________________________ (including area or country code) ________________________________________________________ Accompanying Person (Guest) Name _____________________________________________ Guest Address ______________________________ City _______________ State/Province ___________ Postal Code _______ Country _______________ Telephone Number ________________________________________________________ E-mail address ________________________________________________________ (including area or country code) Annual Meeting April 12 - 21, 2015: Wroclaw, Warsaw, Cracow, Poland. The registration fee includes all meeting activities and materials, accommodation (4-star hotels), transportation, admission and guide fees, two banquets, one served dinner, all breakfasts, lunches and remaining dinners in the form of a buffet at the hotel, with the exception of one dinner in Warsaw and one lunch in Cracow, when you will have free time. A cash bar will be available during both banquets and in all hotels. Please consult the Detailed Plan of the Magnolia Tour and follow the updates on the scientific program etc., at the Polish organizers website: http://www.biol.uni.wroc.pl/zbrr/magnolia-tour-2015-poland/ Accommodation – double rooms are booked in 4-star hotels for the meeting participants; single rooms require an additional fee of $15 USD per night. If you agree to share a double room with a MSI colleague, please indicate the roommate name below. If you prefer a single room, please indicate it in the Special Requests and additional information section. Roommate Name (when you agree to share a double room) _______________________________ Special Requests (single room, dietary, medical, etc.) and additional information ______________ __________________________________________________________________________________ __________________________________________________________________________________ Meeting Registration: Registration will be opened on October 1, 2014 and closed on November 30, 2014 or when capacity is reached. The list of participants will be arranged according to the order of registration forms received. You may register electronically at the tour operator website http://www.welcome-tourist.com.pl. The Registration Form is also available at the Polish organizers' website (http://www.biol.uni.wroc.pl/zbrr/magnolia-tour-2015-poland/) and at the MSI website (www.magnoliasociety.org). The completed form should be sent, preferably by e-mail, to our tour operator, Welcome Tourist (info@welcome-tourist.com.pl). Alternatively, you can register by sending the completed form by postal-mail to our tour operator at the address: WELCOME TOURIST Wita Stwosza 28 50-149 Wroclaw Poland Payment: the total cost of the trip per person is $2,000 USD; if you prefer to stay in a single room, the final payment will increase to $2,135 USD. You can pay by Visa or MasterCard while registering at the tour operator website. Please be aware that American Express credit cards will not be accepted. Alternatively, you can pay by a wire transfer to the bank account of the tour operator: WELCOME TOURIST ALIOR BANK SA O/Wroclaw SWIFT CODE: ALBPPLPW IBAN: PL 58 2490 0005 0000 4600 2630 6461 Please include the note “Magnolia Tour 2015” on the payment as an indication of your participation in the meeting. Airport Transportation: free shuttle service from and to Wroclaw Airport will be organized for meeting participants. The best flight connections to Wroclaw Airport (WRO) are from Munich, Frankfurt, and Warsaw. During the whole trip, luggage handling will be provided. Cancellation Policy: there will be a 5% cancellation fee if you cancel your reservation after the payment due to bank commissions. Contact: in case of any questions or enquiries please contact Prof. Beata Zagórska-Marek: beata.zagorska-marek@uni.wroc.pl Dr. Edyta Gola: edyta.gola@uni.wroc.pl