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Surname: Middle Name: Name:
Title: Organizataion:
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Address: Postal Code:
Telephone: Fax:
E-mail: T.C. Number:
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Bank account information
Bank Name and Branch: Turkiye Is Bankasi - Mugla Merkez Subesi (Turkey)
Bank Address: Inonu Cad. No:7 48001, MUGLA, TURKEY
Account Holder: AKDENIZ KIYI VAKFI
Account Number: 3600 0419432
Swift Code: ISBKTRISXXX
IBAN: TR910006400000236000419432
VAT Number: Ortaca V.D. 0210549104

NOTE: Please indicate that the payment is for “Global Congress on ICM”

     
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