RN37 Conference Registration Surname Given Name Academic Title M.A. Ph.D Prof. Mail address Institution / University Please insert your associated institution Postal address of your institution Please insert your institutions postal address for the conference certificate Will you present a paper and/or chair a panel? Yes No Band selection Band 1 countries: Andorra, Antigua and Barbuda, Aruba, Australia, Austria, Bahamas, Bahrain, Barbados, Belgium, Bermuda, British Virgin Islands, Brunei Darussalam, Canada, Cayman Islands, Channel Islands, Chile, Croatia, Curaçao, Cyprus, Czech Republic, Denmark, Estonia, Faroe Islands, Finland, France, French Polynesia, Germany, Gibraltar, Greece, Greenland, Guam, Hong Kong SAR/China, Hungary, Iceland, Ireland, Isle of Man, Israel, Italy, Japan, Korea, Rep., Kuwait, Latvia, Liechtenstein, Lithuania, Luxembourg, Macao SAR/China, Malta, Monaco, Nauru, Netherlands, New Caledonia, New Zealand, Northern Mariana Islands, Norway, Oman, Poland, Portugal, Puerto Rico, Qatar, San Marino, Saudi Arabia, Seychelles, Singapore, Sint Maarten (Dutch part), Slovak Republic, Slovenia, Spain, St. Kitts and Nevis, St. Martin (French part), Sweden, Switzerland, Taiwan, Trinidad and Tobago, Turks and Caicos Islands, United Arab Emirates, United Kingdom, United States, Uruguay, Virgin Islands (U.S.). Band 2 countries: Everywhere else. Band 1 Band 2 Country Please insert your country your of origin (eligibility check of band selection) Are you an ESA member? Yes No Registration Fees Please select the applying fee for your registration from the list below 70€ - PhD or MA students, Band 1, ESA member 90€ - PhD or MA students, Band 1, no ESA member 40€ - PhD or MA students, Band 2, ESA member 60€ - PhD or MA students, Band 2, no ESA member 130€ - Regular, Non-tenured position, Band 1, ESA member 160€ - Regular, Non-tenured position, Band 1, no ESA member 80€ - Regular, Non-tenured position, Band 2, ESA member 100€ - Regular, Non-tenured position, Band 2, no ESA member 190€ - Regular, Tenured position, Band 1, ESA member 240€ - Regular, Tenured position, Band 1, no ESA member 110€ - Regular, Tenured position, Band 2, ESA member 130€ - Regular, Tenured position, Band 2, no ESA member Transfer confirmation The registration fee should be transferred to the following bank account: Owner: Deutsche Gesellschaft für Soziologie, Sektion Stadt- und Regionalsoziologie, Address: Goethestraße 31, 45128 Essen (Germany), IBAN: DE19 3606 0488 0412 6284 31, BIC: GENODEM1GBE, Bank name: GENO BANK ESSEN eG, Bank address: Am Waldthausenpark 4, 45127 Essen (Germany), Payment refernce: "RN37 fee 'Your full name'" I herewith confirm that I will transfer the registration fee within 7 days after my application