3rd Mid-European Clay Conference
Opatija, Croatia
"Grand hotel Adriatic"
September 18-22, 2006.

REGISTRATION FORM

The registration form should be completed for each individual participant, except for accompanying persons, and for every paper individually! 

First Name: …………………………………… Family name: ...…………………………………….
Title: …………………………………………
Institution:…………………………………………...........………………………………………………………………………………...……………………………………………………………..……...
Address:……………….……….……………………………………………………………………………………………………………………………………………………..…………………………..
Name & Affiliation (for the badge) ………………………………………...…………………………
…………………………………………………………………………………………………………
Phone: ……………………………………………… Fax: ………………..………………………….
E-mail: ……………………………………………………………………………….………………..
Accompanying person(s):
First name:………………………………Family name………………………Title:…………….
First name:………………………………Family name:……….……………..Title:…………….

Participation
Paper entitled: …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………..……………………………………………………………………………………………………………………………………………………………
Authors: ………………………………………………………….…..……………………………………………………………………………………………………………………………………………………

Preferred type of presentation:	 oral presentation
	 poster 

I will be accommodated in Grand Hotel Adriatic		 YES		 NO

I (we) need a personal invitation to obtain visa 	
CONFERENCE REGISTRATION FEE

Full participant registration fee:
		 EUR 150 (before March 15, 2006)		 EUR 170 (after March 15, 2006)

PhD student registration fee (student must provide evidence of the status):
		 EUR 100 (before March 15, 2006)		 EUR 120 (after March 15, 2006)

Accompanying person registration fee: 			 EUR   50
 
Total conference registration fee:							EUR ..........

FIELD TRIP REGISTRATION

I am registering for the following field trip					 for ......... person(s)	
 Postmeeting excursion 1: Clay mineralogy of bauxites and paleosols
formed during regional subaerial  exposures of Adriatic Carbonate Platform		EUR   70

 Postmeeting excursion 2: 
Ceramic and brick clays deposits and excessive flysch erosion				EUR   70

 Postmeeting excursion 3: Clay Minerals and Selected Ecological Aspects
of Soils on the Island Veli Brijun, Croatia							EUR   80

Total field trip registration fee:								EUR .......

TOTAL AMOUNT 	(the sum of the conference & field trip registration fees)		EUR .......

____________________________					_____________________
	Place and date 								Signature 

to be returned together with payment receipt at following address: 
Vanja Biševac (MECC06)
Mineraloško-petrografski zavod PMF-a
Horvatovac bb
HR-10000 Zagreb 
Croatia
or faxed to +385 (0)1 4605998
or e-mailed to mecc06@gfz.hr