Registration On-Line

Registration On-Line

Attendance at this event is by invitation only.
If you are able to attend, please register on-line below.
Please use Capital Letters All fields marked with * are required.

Name: *

Surname: *

Gender: *

Organization/Institution: *

Specialty: *

Address: *

City: *

ZIP code: *

Country: *

Mobile Phone: *

Please add country code
(ie. 0030 XXXX XX XX XX)

e-mail: *

Air tickets

Please fill in below as they appear in your travel documents (passport or new identity)

First Name:

Last Name:

Arrival from:

City:

Date:

Preffered time:

Return to:

City:

Date:

Preffered time:

Accomodation On-Line

Check-in date:

Check-out date:

President Hotel:

Single Room

Check-in hours: 14:00
Check-out hours: 12:00

Remarks:

Travel Grants:

A number of travel grants will be available for participants at this event. Grants will provide flights in economy class and hotel accommodation (nights of 3rd and/or 4th June 2014) with breakfast. Conference attendance and meals served as part of the Conference agenda will not be charged.

All travel grant arrangements must be made directly though appointed travel agent Mastermind Group. We regret that we will not reimburse travel expenses incurred by participants.

If you would like to apply for a travel grant, please tick the box below.

Travel Grant:

Yes

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Registration On-Line