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3rd Midsummer Meeting on Paediatric Haematology and Oncology 2011

3rd Midsummer Meeting on Paediatric Haematology and Oncology 2011

Registration form


All fields marked with * must be filled in.

Participant
Title:
First name/s*:
Surname / Family name*:
Institute / company:
Student / school:
Profession:
Street*:
City*:
ZIP*:
Country*:
ID No.:
VAT ID No:
Phone*:
Fax:
E-mail*:
Registration fees *
Category By 15th April 2011 By 15th May 2011 By 5th June 2011
Physicians registration € 200 € 250 € 280
Nurses registration € 150 € 180 € 200
Exhibitor € 200 € 250 € 280
One day registration - physicians - 10.6.2011 € 80 € 80 € 80
One day registration - physicians 11.6.2011 € 80 € 80 € 80
One day registration - nurses € 60 € 60 € 60
 
Accommodation reservation
Clarion Grandhotel Zlatý Lev ****
Type of roomPrice (per person and night)No. of persons
Single Standard € 64
Double Standard € 45
Double Single Use € 78
Suite Lux - Junior € 156
Suite Lux € 215
Triple € 41
Junior Suite - Double € 78
Suite Lux - Double € 107.5
UNIHOTEL Liberec
Type of roomPrice (per person and night)No. of persons
Single Standard € 27
Double Standard € 21
Triple Standard € 18
Hotel Liberec ***
Type of roomPrice (per person and night)No. of persons
Double New Room € 32
Double single use - new room € 48
Double Standard € 24
Double Single Use € 36

note

Date of arrival Date of departure

Social programme
Date Price No. of persons
Welcome to Liberec Friday, 10th une 2011 € 0
Gala Dinner ”Bohemian Historical Evening Saturday, 11th June 2011 € 0
Gala Dinner - Bohemian Historical Evening - Exhibitors and Others 11.6.2011 € 12,5

Upon submitting the form successfully, you will be notified through an automatically generated e-mail sent to your e-mail address. In case no such confirmation is delivered, please contact directly the event organizer (office@congressprague.cz).

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ORGANIZATION

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Congress Prague
Tel.:+420 241 445 759
Fax.:+420 241 445 806
office@congressprague.cz