SUBMISSION FORM 
for the 9th International Conservation Conference

PROBLEMS OF MUSEMS WITH PRESERVATION AND CONSERVATION OF COLLECTIONS

Szreniawa, 7-9 October 2020

Given name, surname, title/academic degree, phone number, e-mail address:
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Institution/Company:
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Invoice data:
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Address for correspondence:
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Participation in the conference (tick the appropriate box): 

□ 7 October 2020	             	□ 8 October 2020		□ 9 October 2020	
□ accommodation organised by the Museum				□ own accommodation
□ no paper/information			□ paper (up to 20 minutes)   	□ information (up to 10 minutes)    
	   
Paper / information title
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Paper / information abstract
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NOTE: The Organisers reserve the right to select papers / information

Basic information
•	conference fee (two options):
•	500 PLN/person – two nights (7/8.10.2020 and 8/9.10.2020) in double rooms, full board and conference packs (with the conference agenda and paper abstracts). Accommodation in Hotel Delicjusz, Trzebaw, ul. Poznańska 1, 62-060 Stęszew 
phone: +48 61 8 108 108, e-mail: recepcja@delicjusz.pl
•	300 PLN/person – full board and conference packs (with the conference agenda and paper abstracts), no accommodation
•	contact data:
Muzeum Narodowe Rolnictwa i Przemysłu Rolno-Spożywczego w Szreniawie 
ul. Dworcowa 5, 62-052 Komorniki
phone: +48 61 810 76 29, ext. 22, 27
e-mail: konserwacja@muzeum-szreniawa.pl
•	bank account no. for conference fee payment:
no.: 61 1500 1621 1216 2001 1107 0000, with a note “Konferencja Konserwatorska” / Conservation Conference
•	information on the conference agenda and the publication stylesheet will be sent on receipt of a submission 

Important dates

•	15.05.2020 – deadline for submitting titles of papers/information with an abstract in Polish 
•	30.06.2020 – deadline for submitting complete papers/information with an abstract in English
•	31.08.2020 – deadline for submitting information on conference attendance
•	30.09.2020 – deadline for submitting presentations (Power Point, preferably)
Due to the preparation of the conference publication in the current year, we kindly ask 
for compliance with the above deadlines.
•	30.09.2020 – deadline for paying the conference fee 

A Conference participant consents to the use of their image in a photograph or a video, free of charge.
The Participant grants the Organiser a free license to use the recorded image in the following fields of exploitation:
1) Recording and multiplication with any known technique and distribution in any form.
2. Making available to the co-organizers of the Conference the copy or copies on which the image was recorded to be used for promotion in the context of their participation 
3. Downloading into computer memory and multimedia network.
4. Duplication of the recorded image.
5. Public exhibition, display, replay, broadcast and rebroadcast, as well as making it available to the public in such a way that everyone can have access to it at a place and time of their choice.
6. Publication in the press, on websites, posters, catalogues and folders.
The Organizer reserves the right to grant a sub-license to use the recorded image to official partners of the event.
The administrator of your personal data is Muzeum Narodowe Rolnictwa i Przemysłu Rolno-Spożywczego w Szreniawie, ul. Dworcowa 5, 62-052 Komorniki

Representation: 
  I agree to the processing of my personal data for the purposes of participating in the Conference, in accordance with Article 6(1)(a) of Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data and repealing Directive 95/46/EC (General Data Protection Regulation). I have been informed that the provision of data is voluntary and I have the right to withdraw my consent at any time without affecting the lawfulness of the processing carried out on the basis of my consent prior to withdrawal, to access, rectify, erase, restrict, transfer or object to the processing. I also have the right to lodge a complaint with the supervisory authority.

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