Anmeldung Formular Conference Registration Form Falls Du ein Mensch bist, lasse dieses Feld leer. Mrs. / Mr. * Mrs. Mr. Title First Name * Surname * Email * Phone Adress * Zip/Postal Code * City * Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Organization (Institution, Employer) Position in Organization I am member of my national social work association (IFSW member organization) * Yes No Preferred language * English Deutsch Contact Details Sharing * I agree to share my contact details with other participants I do not agree to share my contact details with other participants Certificate of Attendance * Yes, I would like to receive a Certificate of Attendance No, I do not wish to receive a Certificate of Attendance Participant fees give access to all sessions of the conference, lunches and evening event (conference party). Particapant fees do not cover travel and accommodation. Registration Fees (Early Bird Registration until 14th of June 2019) * standard/early - € 350 standard/regular - € 450 ifsw member/early - € 300 ifsw member/standard - € 400 ifsw friends/early - € 280 ifsw friends/standard - € 380 obds/early - € 200 obds/regular - € 300 student/early - € 100 student/regular - € 120 student obds/early - € 80 student obds/regular - € 90 Total € Payment method * Credit Card Bank Transfer PayPal • Institut • Bezeichnung des Kontoinhabers • IBAN • SWIFT Credit Card Number * Credit Card Number Credit Card Number Valid to Monat 1 2 3 4 5 6 7 8 9 10 11 12 Valid to Credit Card Number Jahr 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 CVC2 code CVC2 code Data Protection Declaration * I accept the Terms and Conditions & the Data Protection Declaration Submit Registration
