SSARS 2025 – Summer Safety and Reliability Seminar

Registration and Fee Payment Form

SSARS 2025 Registration and Fee Payment Form

Prefix

First Name *

Last Name *

Company/Institution:0 / 256

Street Address

City

State/Province

ZIP / Postal Code

Country

VAT ID

Phone

Email Address *

Accompanying Person Name(if applicable, accommodation in a double room with SSARS 2025 Participant)

Hotel Registration – Victoria Hotel

AccommodationSingle RoomDouble Room (available with Accompanying Person)

Arrival Date/Time:

(not earlier than 22nd June at 1500)

Departure Date/Time:

(not later than 27th June at 1100)

Seminar Fees

Deadline: 31rd of March 2025

Participant Full Seminar Fee: 750 € (3 200 PLN)(including: sessions attendance, seminar program, monograph, 5 days accommodation with breakfast in the hotel, catering and social events)

Participant Seminar Fee (without accommodation): 500 € (2 200 PLN)(including: sessions attendance, seminar program, monograph, 5 days catering and social events)

Accompanying Person Full Seminar Fee: 600 € (2 600 PLN)(including: 5 days accommodation with breakfast in the hotel, catering and social events)

Accompanying Person Seminar Fee (without accommodation): 400 € (1 700 PLN)(including: catering and social events)

Publication (without attendance, with online presentation): 400 € (1 700 PLN)(including: monograph)

Additional publication: 400 € (1 700 PLN)

Additional payment, if payment done after deadline: 200 € (900 PLN)

Total Payment

Foreign Participant

Payment should be made in EURO by Bank Transfer to:

Polish Safety and Reliability Association (PSRA)
Address: Al. Jana Pawła II 3, 81-345 Gdynia, Poland
Account No: PL 58 1020 1912 0000 9002 0210 8306 (Bank Pekao BP Swift Code: PPKOPLPW)
Providing On Transfer Document: PARTICIPANT SURNAME, SSARS 2025

Polish Participant

Payment should be made in PLN by Bank Transfer to:

Polskie Towarzystwo Bezpieczeństwa i Niezawodności (PTBN)
Address: Al. Jana Pawła II 3, 81-345 Gdynia, Poland
Account No: PL 18 1020 1912 0000 9102 0210 8298 (Bank Pekao BP Swift Code: PPKOPLPW)
Providing On Transfer Document: PARTICIPANT SURNAME, SSARS 2025