Congresses

6th ANNUAL WORKSHOP FOR MYOSITIS NETWORK (MYONET) 2018

Registration form


All fields marked with * must be filled in.

Participant
Title
First name/s*:
Surname / Family name*:
birthdate*:
Institute / company*:
Profession:
Street*:
City*:
ZIP*:
Country*:
ID No.:
VAT ID No:
Phone*:
E-mail*:
Is contact address the same as billing address?
Billing address
Institute / company *
Street *
City *
ZIP *
Country *
ID No.
VAT ID No
Registration fees *
Category Price
Doctor - Invited participant 0 €
Exhibitor Representative(1) 550 €
Doctor 550 €
 

Notice
(1) - first two registrations are for free, every other costs 550 €

Registration contains:

  • Registration for meeting
  • Accomodation in Lindner Hotel - night between first and second day of the meeting (single or double standard room, include breakfast)
  • Participation in the program of the meeting
  • Meeting coffee breaks
  • Program materials
  • Dinner at the end of the first meeting day

Night from the 1st of February till 2nd of February costs free.

Accommodation reservation
Lindner Hotel Prague Castle ****
Type of roomPrice (per person and night)No. of persons
Single Standard 95 €
Double Standard 58 €

note

Date of arrival Date of departure


As for booking any other room than single room (e.g. twin/double/triple etc.), please do make sure to mention in the registration form the name of the person/s with whom you are going to share the room in question.
Otherwise you will be automatically charged the full price of the room.

Related services
Price No. of persons
Transfer services | Route A | Václav Havel Airport Prague - Lindner Hotel Prague Castle
| Car (1 – 3 persons)
33 €
Transfer services | Route B | Lindner Hotel Prague Castle - Václav Havel Airport Prague
| Car (1 – 3 persons)
33 €

For transfer arrangements, kindly fill in the Arrival - Departure Schedule and inform Congress Prague in case of any changes or cancellations.

Arriving
:
:
:
:
:
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Departing
:
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:
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:
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Payment conditions
Payment by credit card*
Card type*
No of CC*
Expiration date of CC*
CVV/CVC code*
Holder's name*

CVV/CVC code is the 3 or 4 digit number located on the back of the VISA/MC card.

Wire transfer *

By submitting of this electronic registration form (or by sending filled and signed printed registration form or scanned copy) I consent to Congress Prague, s.r.o. to using and processing personal data provided in this registration form for the purposes of the registration on this educational event, sending information on this educational event and other educational events organized by Congress Prague, s.r.o., solving and settling other orders, payments, queries and offers concerning participation in this educational event and other educational events organized by Congress Prague, s.r.o., by the Act No. 101/2000 Coll., on the Protection of Personal Data, as amended.

This consent may be withdrawn at any time. The notice of withdrawal has to be addressed and delivered to Congress Prague, s.r.o. in written form. The notice of withdrawal takes effect on the day after day of delivery. I take into consideration that the effect of the withdrawal of the consent does not release me from the responsibility for fulfillment of the dues, obligations and payment for the properly ordered services according to this registration form and other valid orders from Congress Prague, s.r.o.

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).