Binaries in the Solar System 4

21-23 June, 2016
Prague, Czech Republic

Credit/debit card payment form

In order to let us identify your credit/debit card payment of the registration fee, please fill-in this simple form. Upon entering your name and e-mail address and pressing the button "Continue" you will be searched in the database of registerred participants. Hence, you have to register first via the registration form, if you have not done it yet.

Please understand that we do not collect your credit card data, just your name and e-mail submitted in this form. Upon confirmation of your personal and payment data (clicking the button "Confirm" that appears) you will be redirected to GPwebpay - a secured internet application performed by Global Payments Europe for Komerční banka where you can safely provide your credit card data. Upon successfull payment you shall receive e-mail notification.

Fields marked by * are obligatory.

First Name:*
Family Name:*
e-mail:*