Hidden Europe: The Challenge to Diaconia and Christian Social Practice
The 4th Bienial Conference for Research in Diaconia and Christian Social Practice

Charles University in Prague, Protestant Theological Faculty
September 26 to 29, 2012

Registration form 
The deadline for registration is May 31, 2012 - more details see on the next page

Please fill out the form electronically if possible and send it to the Office for International Relations at intl@etf.cuni.cz 
If you have to fill it out by hand, write IN CAPITAL LETTERS, (especially your e-mail address!) so that it is legible, and send it either scanned as an e-mail attachment or by post to this address:
Office for International Relations
Charles University in Prague
Protestant Theological Faculty
Cerna 9, P.O. Box 529,
CZ-115 55 Praha 1, Czech Republic

First name
		
Family name
		
Title
		
Male /female
		
Institution
		
Status 
(e.g student, teacher, researcher...)		
E-mail address
		
I do not  need accommodation
		
I will need accommodation
	Sept. 26	Sept. 27	Sept. 28
	
other nights (specify, please)
	
single room (36 €/night)
	double room (59 €/night)	
Special requirements (e.g. diet)
or other information we need to know

		
Conference fee  150 € - details see on the next page	

Further information:

The premises where the conference will be held is 
Hotel Olsanka
Táboritská 23/1000
130 00 Praha 3 - Žižkov
www.hotelolsanka.cz/contact?locale=en

The conference fee (which includes the organizational expenses, prices for the premises, food and drink during the conference) is 150 € if you confirm your registration and pay by bank transfer before June 30. For later payments 160 € will be charged.
The final deadline for late registrations is August 20th. Please note that by the same date we must also receive payment (or proof of payment) of the conference fee. 
The possibility to register for the conference after this term would be dealt with individually.

The details of our bank account for sending money are following:
Account name: UNIVERZITA KARLOVA V PRAZE
                           EVANGELICKA TEOLOGICKA FAKULTA
KB account number: 85439011/0100
Bank account number (IBAN): CZ28 0100 0000 0000 8543 9011 
Swift code: KOMBCZPPXXX
Address: KOMERCNI BANKA A.S.
                SPÁLENÁ 51
                P.O.BOX 1090
                111 21 PRAHA 1
                CZECH REPUBLIC
Variable symbol:   2012
Information for recipient: NAME of PARTICIPANT of the conference

Note: The price for accommodation (not included in the conference fee) is depending on our reservation (long before the season). We can offer you these prices only in connection with the conference. If you intend to come earlier or to stay after the conference, please, indicate it in your registration and we make your reservation for the conference price. Ordering privately you can pay different price.

Please send the completed form by May 31, 2012