On-line Registration

Please check the contents of this form carefully as you will not be able to make modifications after submission. If it is necessary to change any information after submission, please e-mail or a fax the changes to the Organizing Office: celme2017@cbttravel.cz; fax: +420-224 942 550.

For your convenience the system will remember your personal data. The system will forget your personal data if you close this window or stay on this page for more than 30 minutes without submitting.

 
We have limited number of seats – we can accept only 120 participants, we recommend to provide your on line registration on time. The confirmation will be based upon first come first served rule.

required = required field(s)

I. Personal Details

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+ required (123456789)

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II. Registration

 

required Early bird before
September 25, 2017
Regular after
September 25, 2017
payment
Regular fee200  EUR250  EUR EUR
Invited speaker0  EUR0  EUR EUR

Registration fee includes:

  • Admission to the scientific programme
  • Conference materials
  • Coffee breaks, Lunch

III. Accommodation

All the capacities are already fully booked, upon request we sent you actual offer.
 

  I require accommodation

Total

Total EUR

IV. Payment Instructions

  • Credit card required

    If you enter an incorrect credit card number, or if your credit card is not authorised for another reason, the registration process will be cancelled automatically.


    I authorize Congress Business Travel Ltd. (Lidicka 43/66, 150 00 Prague 5, Czech Republic, VAT number: CZ26424053) to charge my credit card for the payment of EUR:
    + % administration fees =



    *) In case the name of cardholder and name of registered delegate is different, Conference Secretariat has the right to ask cardholder for approval. Please fill in here all requested details.

    **) CVC2 (MasterCard/EuroCard) or CVV2 (American Express, Visa, Diners) code is printed on the reverse side of your credit card on the signature panel, (last three digits).

  • Bank transfer required

    Bank nameCeska sporitelna
    Bank addressVaclavske namesti 16, Prague 1, Czech Republic, 110 00
    Account number1942073339
    Bank code0800
    Account nameCongress Business Travel
    IBAN No.CZ63 0800 0000 0019 4207 3339
    SWIFT/BICGIBA CZ PX
    Payment details participant's full name / 108 (e.g. John Smith/108) (if it is impossible to include the name on the bank transfer kindly mark "108" only)

V. Billing Details

In case you need to issue an invoice or if someone else is paying your registration fee, please, tick the following box.

If you require pro-forma invoice, please state it in the VI. Notes section.

Different payer or invoice


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Invoice address

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+ (+420 123456789)

VI. Notes

Please add any information you regard as important



  I agree with the use of my personal data by the company Congress Business Travel spol., s r.o., in accordance with the Czech Personal Information Protection Act 101/2000 Sb. The data will be used solely for the purposes of this conference; giving consent is a necessary condition of your registration.