Binaries in the Solar System 4

21-23 June 2016
Prague, Czech Republic

Registration form

Fields marked by * are obligatory.
Fields marked by ** will appear on the badge.
Upon successfull registration you will receive a confirmation e-mail.

1. Personal data

Title:
First name (plus middle initial):**
Family name:**
Institution:**
Address (street & number):*
Town, State/Province:**
Postal/ZIP code:*
Country:**
E-mail:*
Phone (just numbers, no dashes or parentheses; best including full country code with the leading double zero, like 0018081234567):

Provided that you filled in all the obligatory fields you can now preview your conference badge (this is not the actual registration yet!). Depending on your browser settings the badge preview will appear either in a new window or browser-tab, or as a downloaded PDF file.

Please, check your badge prior continuing registration. Namely, have a look whether the text does not overflow the box (if so, shorten the appropriate input field, usually the institution name) and check for possible duplicity of city/country (e.g., because contained already in the inst. name) at the badge. If you are satisfied, please continue with registration, otherwise change the input fields. Hint: If you are not able to get letters with diacritics in the correct form, try to insert them using LaTeX style format.

2. Visa

Please, check the list of visa-regime countries whether you need a visa for visiting the Czech Republic. If so, tick, please, the checkbox below and we will send you an invitation letter facilitating your visa application (general info on visa application you can find at the web of Ministry of Foreign Affairs). The Czech Republic is a member state of the Schengen system. Hence, if you have a valid visa for any of the other member state of the system you are authorized for stay in Czechia as well.

I need an invitation letter for visa application

3. Accommodation

The primary conference hotel is the venue Vila Lanna. They have 24 rooms: 13 one-bed, 2 two-bed and 9 double-bed rooms. Our special rate is 910 CZK/night and 1400 CZK/night for the one- and two/double-bed rooms, respectively. Breakfast is included. They have 10 car parking places (for 150 CZK/night each). I (Petr Pravec) will do a block booking for all guests in Vila Lanna, following the preferences that you express below. You will pay for your room by credit card at check-out.

There are three suitable overflow hotels close to Vila Lanna: Penzion Na Stare Poste, Penzion Marna and PARKHOTEL Praha. They are about 200, about 800 and about 2200 meters, respectively, from Vila Lanna. Penzion Na Stare Poste lists following prices: 65 and 79 EUR/night for 2- and 3-bed room, respectively. Penzion Marna offers 4 double-bed rooms, 2 large double-bed suites, and 1 smaller double-bed suite for 1550, 1950 and 1750 CZK/night, respectively. PARKHOTEL Praha offers us following prices: 1800 and 2000 CZK/night for 1- and 2-bed rooms, respectively. Breakfast is included and car parking is available in all three hotels.

Accommodation options:*
  I would like to book a room in one of the hotels listed above. Details of/preferences for my stay are following:

 
  I will arrange my accommodation myself.
 
  I have not decided yet, will do it later. (Email to ppravec@asu.cas.cz when you decide.)

4. Participation fee payment

The participation fee is 5400 CZK (approx. 200 EUR, or 225 USD).

Payment options*
  I want to pay the participation fee by card now (a payment form will open after hitting the Register button below).
  I will pay the participation fee later. (Please do it by the registration deadline of 2016 April 20. If you don't pay by the deadline, we may cancel your registration if there is more than 50 registered participants.)
  I ask for a special treatment. (This option is for students asking for waiving the fee, or if you cannot pay by credit/debit card. In the latter case, email details to petr.pravec@asu.cas.cz.)

We consider waiving the participation fee to a limited number of students (depending on available funds).

  I'm a student, please consider me for waiving the participation fee. (If you check this box, please choose the third option above).

5. Accompanying persons

We do not prepare any special program for accompanying persons, but they will be welcome to participate on the tour and the field trip. They will be also welcome to come to the reception on June 20, to the banquet on June 21 and to the dinner on June 22. The cost of 650 CZK per accompanying person per each of the evening events would be paid in cash at the workshop, but we will need to know their number in advance (please email to petr.pravec@asu.cas.cz not later than a few days before the workshop) to order the right number of meals.

Please specify here for our information if you plan to take some accompanying person(s) with you.

Accompanying persons: 
 

6. Tour and Field Trip

We will prepare the tour and the field trip later on. For now please just express your potential interest to participate in them.

I am/we are potentially interested in attending the tour of "Astronomical Prague".
Number of persons (including accompanying persons):

I am/we are potentially interested in attending the trip to the Ries and Steinheim impact craters.
Number of persons (including accompanying persons):