6th Conference of the Hungarian & 4th Conference of the Eastern and Central European Pancreatic Study Groups 25-26 November, 2017
Registration form for the meetings of the 6th Conference of the Hungarian & 4th Conference of the Eastern and Central European Pancreatic Study Groups (November 25-26, 2017)
Sponsors:
I. Personal Details
Name *
Your answer
Registration type *
Participation in the conference *
Required
Institution *
Your answer
Street
Your answer
City *
Your answer
Country *
Your answer
Postcode
Your answer
Phone *
Your answer
E-mail *
Your answer
II. Accommodation
Accommodation needed *
If you need accommodation, please mark the required nights. If shared room is required, please mark the preferred room-mate's name, if any, at "Comments". For juniors, we can provide shared rooms only, the additional charge for single room is €35/night (see "Further fees").
Single room
Shared room
Do not require
24 Nov
25 Nov
26 Nov
Accompanying Person
III. Travel Details/Transfer
Means of Transport
Do you need transport from and to Budapest airport? *
If yes, please provide flight details, if you have them already! Please submit arrival date and time, airline and flight number!
Your answer
Please provide the return flight details, if you have them already! Please submit departure date and time, airline and flight number!
Your answer
IV. Special Requirements
If you have any special requirements, please provide us further details (food allergies, vegetarian, dietary information, disability, etc.)
Your answer
Registration fee
€200

The registration fee shall be payed via bank transfer.
Bank details:
Foundation for Translational Medicine
Account number: MKB 10300002-28529730-00003285
52/D Pálfy str. Szeged, 6725, Hungary
Tax number: 18475441-2-06
EU VAT #: HU18475441

Please add your name as a transfer note.

Further fees
Additional charge for single room:
€35/night

Accompanying person*:
€100

*We assume that the accompanying person will share a room with the delegate. If not, please contact us.
The registration fee for accompanying persons covers accommodation, badge, lunches; dinner and social events on 25th November.

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