IMZ and Cinedans will be happy to welcome you at dance screen. If you wish to attend, please fill in the Personal Registration Form below.

The registration fee covers all festival activities such as screenings, video library, discussions, and lectures as well as the dance screen Award gala.

The fields marked with the arrow symbol     have to be filled in.

Personal Registration
Title:
First Name:
Surname:
Company:
Mailing Address :
Telephone:
Fax:
E-mail:

Personal Registration Fee
Arrival:	- - - - - - - - - - - December 8, 2010 December 9, 2010 December 10, 2010 December 11, 2010 December 12, 2010
Departure:	- - - - - - - - - - - December 9, 2010 December 10, 2010 December 11, 2010 December 12, 2010 December 13, 2010
Please select:	Company / individual submitting a programme
		Each entry fee for your programme also covers the personal registration for ONE person.
	Early Bird rate (until 17 October)
		Event pass EUR 80,--
		One day EUR 30,--
	Regular rate
		Event pass EUR 90,--
		One day EUR 35,--
	Press
		Press pass

Terms of Payment
Payment:		Bank Transfer Account no. 0166-40450/00 Bank code 12000 BIC/Swift Code CABVATWW IBAN AT39 1100 0016 6404 5000 Bank Austria, Schubertring 14, 1010 Wien
		Visa
		Mastercard
		Diners
CardHolder:
CardNumber:
CardExpiration: