Registration              

1. Please fill the Online Registration Form below and submit it as soon as possible.

Online Registration Form

First Name*

Last Name*

Title

Institution

Street

 

Post code

City

Country*

Tel

Fax

E-mail*

Accompanying person (Name)

 

* You must fill in these fields.

 

 

Symposium Fees in Euros

 

 

Registration*

before

July 30, 2006

Registration*

after

July 30, 2006

 

Accommodation**

Symposium

Fee before

July 30, 2006

Symposium

Fee after

July 30, 2006

Single occupancy

350

425

550

900

975

Double occupancy

(per participant)

350

425

450

800

875

Accompanying person

150

200

     600***

750

800

 

Hotel Reservation

Single occupancy

Double occupancy with another participant

Double occupancy with accompanying person

If you wish to share accommodation with another participant please indicate the name 

Expected arrival date        

Expected departure date

Remarks or any special request :