Please fill in this form to register your participation in CETRA 2018.

After you have submitted the form, you will receive an e-mail with the payment details.

If you experience any difficulties with registration form submission, or have any questions regarding registration and payment, please read Registration and Payment page or contact Kristina Prebeg Konjevod (cetra@ulixtravel.com).

Personal information
Title

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First name*:
A value is required.
Last name*:
A value is required.
Birth place*:
A value is required.
Birth date*: (dd/mm/yyyy)
A value is required.Invalid format.
E-mail*:
A value is required.Invalid format.
Repeat e-mail*:
A value is required.The values don't match.
Phone*:
A value is required.
Mobile phone:
Fax:
Institution/Company:
Address*:
A value is required.
City*:
A value is required.
Postcode (ZIP)*:
A value is required.
Country*:

Registration information
Registration type*:
(after March 15)
Please make a selection.
Paper ID:
  (Received by e-mail from chairman if you have submitted an abstract.)
Comment:
Exceeded maximum number of characters.
If you have any special requirements (i.e. vegetarian meals, ...) please enter them here. (200 characters max.)

Payment information
Payment type:
Bank transfer - Croatia
Bank transfer - International
(+10.00EUR bank transfer fee)
Credit card (MasterCard, Visa or AMEX)
(+5% Card payment fee)
No additional payment
(Registration included in sponsorship package)
  All payments for CETRA 2018 are processed by Ulix Travel Agency (Credit Card payments through a secure payment gateway system WSPay).
Proforma Invoice: Yes   |  No
  (If you are paying by bank transfer and you need a Proforma Invoice please select "Yes". We will e-mail it to you after registration.)
Check this box to autofill form if Payment information is the same as Personal information.
First name*:
A value is required.
Last name*:
A value is required.
Institution/Company:
  (Fill in the institution to be printed on an invoice)
Tax number (VAT):
  (Institution/company VAT number. Required if invoice is addressed to an institution or company)
Address*:
A value is required.
City*:
A value is required.
Post code (ZIP)*:
A value is required.
Country*:

Fields marked with "*" are mandatory.

Terms and Conditions
Prior to completing the registration, please read Terms and Conditions.

Please read them carefully and click the checkbox below if you accept them.

I accept Terms and Conditions.