Colorectal Club 2009 Logo 16th INTERNATIONAL | PAEDIATRIC COLORECTAL CLUB MEETING | 15th - 16th of JUNE 2009 zur Homepage der Medizinischen Universität Graz
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Information

Fields marked with *) must be filled out!
All amounts in EUR.
A. Participant
  Salutation          
Title: 
*)  First Name
*)  Last name
*)  Institution/Department
*)  Street
*)  City / ZIP  / 
*)  Country
other:
*)  Phone
*)  E-mail
  Reduced fee (Students and Nurses)
 
B. Accompanying person(s)
Name
Name
Name
 
C. Congress fees
Registration: before
May 15		 after
May 15		 Persons
Participant EUR 220,-- EUR 250,-- [1]
Accompanying persons EUR 130,-- EUR 150,-- [see B.]
Nurses and Students EUR 130,-- EUR 150,-- [1]
 
D. Social program > more info
Date Program Persons
incl. accomp.		 Price
per Person
June 14 Welcome Reception incl.
June 15 Guided city tour incl.
June 15 Dinner incl.
June 16 Dinner incl.
June 16 South Styrian Wine Route € 51,-
June 21.-24. Post Congress Tour € 550,-
 
E. Payment
Credit card payment (+4% extra-charge):
         
Cardholder
Card number
CVV Use at your own risk! More information
Valid until (MM/YY)  / 
 
 
includes a 4% extra charge.
Print this PDF file and fax it to the congress office: PDFPermissionCreditcard.pdf
 
 

Bank: Raiffeisenbank Lieboch-Stainz, Rupert-Schmid-Platz 1, 8501 Lieboch
Bank code: 38210
Account No: 34.306
IBAN: AT223821000000034306
SWIFT/BIC code: RZSTAT2G210

 
Total amount:   EUR 250,-
Cancellation conditions
Cancellations must be sent in written form to the congress office.
Until four weeks before the begin of the congress the cancellation fee is EUR 10,- After that it increments to EUR 50,-

Contact: Congress Office

Gudrun Raber
Department of Pediatric and Adolescent Surgery

Medical University of Graz
Auenbruggerplatz 34
A-8036 Graz/Austria

Phone:+43/316/385-3762
Fax: +43/316/385-3775
Email: kinderchirurgie@meduni-graz.at
Zuletzt bearbeitet am Fr, 20. Februar 2009, 15:35 von Andreas Schmidt
16th INTERNATIONAL PAEDIATRIC COLORECTAL CLUB MEETING 15th - 16th of June 2009 @ Graz, Austria - Organized by the Verein Für Kinderchirurgie