Congresses

GLOBAL CONFERENCE ON MYOSITIS 2022 PRAGUE

Registration form


All fields marked with * must be filled in.

Participant
Title
First name/s*:
Surname / Family name*:
birthdate*:
Institute / company*:
Profession:
Phone*:
E-mail*:
Billing address
Institute / company
Street*:
City*:
ZIP*:
Country*:
ID No.:
VAT ID No:
Accompanying person
Title
Name
Surname
Registration fees *
Cathegory Price until 31st of March 2022 Price from 1st of April 2022
Participant 300€ 380€
iMyos member 280€ 360€
Student / Trainee 150€ 180€
Patient / Patient organization representative 50€ 80€
Accompanying Person 65€ 65€
 

Accommodation reservation
Stages Hotel Prague
Type of roomPrice (per person and night)No. of persons
Single Standard 160 €/night
Single Suite 220 €/night
Double Standard 90 €/person/night
Double Suite 120 €/person/night
Clarion Congress Hotel Prague.
Type of roomPrice (per person and night)No. of persons
Single 130 €/night
Double 73 €/person/night
Hotel DUO
Type of roomPrice (per person and night)No. of persons
Single 80 €/night
Double 40 €/person/night
Triple 35 €/person/night
Hotel Carol
Type of roomPrice (per person and night)No. of persons
Single 100 €/night
Double 50€/person/night
Augustine, a Luxury Collection Hotel, Prague
Type of roomPrice (per person and night)No. of persons
Single 380€/night
Double Twin Apart 195€/person/night

note

Date of arrival Date of departure


All beds must be paid for in the multi-bed rooms. Therefore, always state the name of your roommate. If the names are not mentioned, all beds in the room will be charged automatically

Accompanying programme
Price No. of persons
6th June Lunch 0 Kč
7th June Lunch 0 Kč
8th June Lunch 0 Kč
9th June Lunch 0 Kč
8th June Final evening at Nebozizek restaurant 30 €
Related services
Price No. of persons
Transfer Airport - Hotel 45 €
Transfer Hotel - Airport 45 €

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

Arriving
:
:
:
:
:
:
Departing
:
:
:
:
:
:
Comment
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 the registration form (or by sending a completed and signed printed registration form including its scan copy), you hereby consent to Congress Prague, s.r.o .:

  • processing and handling of personal data contained in this registration form solely for the purpose of registration at this educational event, sending further information about this educational event and possibly other educational events organized by Congress Prague, s.r.o.,
  • the solution and settlement of other related orders related to your participation in this educational event or other educational events organized by Congress Prague, s.r.o.,
  • settlement of payments, inquiries and suggestions related to your participation in this event and other educational events organized by Congress Prague, s.r.o.

All this within and under the law of the Personal Data Protection Act No. 101/2000 Coll. as amended, and the General Data Protection Regulation (GDPR), in its entirety: Regulation EU 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of individuals with regard to the processing of personal data.
You may revoke this consent at any time, the appeal must be in writing and must be addressed and delivered to Congress Prague, s.r.o. The withdrawal of consent takes effect the next day after delivery. You acknowledge that the effectiveness of revoking your consent does not relieve you of your responsibility for fulfilling your obligations, obligations and paying for payments for properly ordered services under this registration form and other valid orders at Congress Prague, s.r.o.
In case of proper filling in and sending of the form you will receive an automatic confirmation by e-mail. If you do not receive such confirmation, please contact the organizer of this event directly office(zavinac)congressprague.cz.

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).