On-line Registration - step 1

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 contact the Conference Secretariat.

 
required field = required field

1. Personal Data

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+ required field (+420 123456789)

+ (recommended)

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2. Registration fees

required field Early fee before
15.4.2018
Late fee after
15.4.2018
Payment
Registration
Student fee (under 35 years)200  EUR250  EUR EUR
Regular fee280  EUR330  EUR EUR
Invited speaker0  EUR0  EUR EUR
Total EUR

Registration fee for participants includes

  • Admission to all scientific sessions
  • Opening reception
  • Conference materials (Conference Kit, Final Programme)
  • Coffee breaks (6) and lunches (4) at the meeting venue
  • Conference dinner

 
    vegetarian option required

3. Abstract / DEADLINE TO SENT YOUR ABSTRACT IS APRIL 15, 2018.

Please use the template for the preparation of the abstract.

Abstract template (download)


oral communication

poster

invited lecture / I have been invited by the organizers

 

4. Payment

  • Credit Card required field


    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


    *) Supposing the card holder name and the name of a participant are different, the Conference Secretariat might require card holder approval. Please fill in all the required entries. For further detail, please contact the Conference Secretariat. The Secretariat will send you a special form to be approved.


    **) CVC2 (MasterCard/EuroCard) or CVV2 (American Express, Visa, Diners) code is printed on the back side of your credit card in the signature label (last 3 digits).

  • Bank Transfer required field
     

    Bank nameČeská spořitelna
    Bank addressVáclavské náměstí 16, 110 00 Praha 1
    Account number1942073339
    Bank code0800
    Account nameCongress Business Travel
    IBANCZ63 0800 0000 0019 4207 3339
    SWIFT / BICGIBA CZ PX
    Payment details 209 + participant´s full name (for easier identification)

    Please note that all bank charges should be fully covered by the payer.
    The copy of the bank transfer should be sent by fax or mail to the Conference Secretariat.

5. Payer

A proforma invoice will be issued upon request. Please write your requirements in Section 6. Notes.

Different payer of the invoice


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Invoice address

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+ (+420 123456789)

6. Notes

7. I agree with the use of my personal data

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 symposium; giving consent is a necessary condition of your registration.