Registration form in English

Name and Surname (required)

Email (required)

Home address (required)
Street and number:

Zip Code and City:

Telephone number (required)

Preferred language of lectures (required)

Reservation from 01 of February to 15 of April 2015 – 70 Euro
15 of April 2015 is the LAST day of reservation.

Lunch (optional)
additional cost - 11€

Title of payment: "Name and Surname, Hildegard Congress 2015 fee and lunch (if applicable)"

If you would like to support the preparation of our International Congress, you can make a donation. This extra money we assign for organizational purposes and support people, who cannot afford for Congress fee. Thank you. If yes, declare the amount below:

We kindly ask to make the payment during 7 days since you send your registration. Otherwise contact us. In case you resign, after 15 of April 2015 we do not give the payments back. We also kindly inform, we do not send confirmations of payments. Only in case we do not see the payment on our account we will send the reminder.

Additional questions

Before you send your registration please read carefully terms and conditions of participation. If you do not accept it, your registration cannot be send. Read terms and conditions here

I agree to process my personal data by Polish Society of St. Hildegard, Żeromskiego 6 Str., 05-400 Otwock, in order to organize the Congress on 16-17 May of 2015 r., according to Polish law (Dz. U. z 2002 r., Nr 101, poz. 926 ze zm. from 29.08.1997 r.).

After sending the registration you will get the automatic confirmation by email with account number for payments. If you do not get such email, please check your “spam” folder.