Application Form for the 40th National Council Meeting ELSA Ukraine for other National Groups Name * First Name Last Name Email * Telegram/WhatsApp Link Facebook Page Link http:// Рhone number (###) ### #### What is your position at ELSA? Your National/Local group? Workshops you plan to attend BEE IM FM MKT AA C S&C PD Do you need accommodation during the event? The organizing committee provides accommodation from December 01 till 03 (two nights), the cost of which is included in the price of participation in the event and is 65€ The cost of an additional night is 35 € Yes No Specify the dates during which you need accommodation April 25 (extra night) Аpril 26 April 27 April 28 (extra night) Wishes for a roommate The organizing committee provides full lunches on the 26 and 28 of April and coffee breaks every day If you are a vegan, vegetarian or have other dietary requirements, please write about it here Date of arrival MM DD YYYY Date of departure MM DD YYYY Аccommodation costs 65 € +40€ for the National programme (including only 2 lunches, sightseeing, academic and social programmes) 💸 Payment method according to the following details: Purpose of payment: Recipient of payment - BILYK NAZAR; IBAN - UA023052990262086400950955413; The account of the recipient - 5168752009087928; USREOU code of the recipient - 3733910638; Payment description - Deposit funds into the account BILYK NAZAR. Payment description: 40 NCM SURNAME (enter your surname) Event registration is required for everyone and is confirmed by payment. Payment must be made before the last day of registration and the link to the photo of the payment receipt must be uploaded to this form. In case of refusal to participate in the event, funds are NOT returned! * I give my consent to the processing and storage of my personal data, in accordance with the Law of Ukraine "On Protection of Personal Data" Yes Thank you! Make it
