Please read first the instructions on the registration page Registration for HOPE Exchange ParticipantsPersonal informationTitle *MrMrs First name * Surname * Organisation * Address * Postcode * City * Country *AustriaBelgiumBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIrelandItalyLatviaLithuaniaLuxembourgMaltaNetherlandsPolandPortugalRomaniaSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUnited Kingdom Email * Phone * Dietary requirements *NoneVegetarianGluten free Registration fee for HOPE Agora 2015Please read carefully the instructions before making a choice The registration fee for HOPE Exchange participants includes the conferences, two nights accommodation at Novotel Warszawa Centrum from Monday 1 until Wednesday 3 June 2015, all meals and social evening programmes starting with the welcome party on Monday evening and ending with the breakfast on Wednesday. Participants who share a room with another exchange participant pay a registration fee of €300. Participants who do not wish to share a room pay a registration fee of €360. Participants who wish to share a room with their partner pay a fee of €385. This fee does not entitle the partner to attend the social evening programmes. Please make your choice *I wish to share a room with another participant at a fee of €300I wish to stay in a single room at a fee of €360I wish to share a room with my partner at a fee of €385 Surname and first name of my partner * The host country of your exchange *AustriaBelgiumBulgariaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIrelandItalyLatviaLithuaniaLuxembourgMaltaNetherlandsPolandPortugalRomaniaSerbiaSlovakiaSloveniaSpainSwedenSwitzerlandUnited Kingdom Questions?Please write here the questions you might have PaymentDeclaration *By submitting this registration form the participant commits himself to pay the fee before 30 April 2015. THE BANK ACCOUNT DETAILS WILL BE SENT WITH THE AUTOMATIC CONFIRMATION OF THIS REGISTRATION. The registration fee is non-refundable in case of cancellation within 10 days before the start of the HOPE Agora or in case of no-show.I agree VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank