Student's Project Week - Registration Form

 

 

Textile Roofs 2017

Student's Project Week

Berlin, May 15th - May 17th

Prof Dr.-Ing. Rosemarie Wagner

Dr.-Ing. Bernd Stary

 

 

 

Be aware that registrations are binding. In any case cancellations should be notified in writing.

Please print and return the completed form preferably by mail  (or by Fax) together with a copy of your Student's Identity Card to:

 

academus GmbH

Mindener Straße 6

10589 Berlin; GERMANY

Fax: +49 30 26302515

mail@acamem.de

         

female          male
        First name:
        Surname:
        University:
        Address:
        Zip code:
        City:
        Country:
        Phone:
        e-mail:
        Fax:

 

The registration fee of 150 will be transfered within the next days to:

 

Bank: Commerzbank AG Bank code: 10040000
BIC: COBADEFF   IBAN: DE66100400000929479400
Account No.: 929479400 Account name: academus GmbH
Reference: Your name - TR17 Student's Week
Address: Scharnweberstr. 139a, 13405 Berlin, Germany
 

I accept that the above information will be included in the workshop folder

Date:                    

Signature:

        

 We will confirm your registration by mail