SEX: MALE FEMALE

LAST NAME:

NAME:

INSTITUTE:

SPECIALTY:

DEPARTMENT:

ADDRESS:

CITY:

POSTAL CODE:

COUNTRY:

FAX:

  E-MAIL:

Registration Fees

Participation Fee	120 Euro plus VAT 19%
Trainee	30 Euro plus VAT 19%

HotelAccommodation 

Hotels

Volcano View Hotel	160 Euro/ Day  SGL or DBL
Volcano View  Villas Suites - Maisonettes	190Euro
Santorini Palace	140 Euro/ Day SGL or DBL 170 TRPL
Calderas Lilium Studios DBL	160 Euro/ Day  SGL or DBL

 

Please Register person(s) X =
For Gala Dinner  person(s)
for Accommodation room(s) X . =

for Participation Package  person(s)X=
Grand Total =

Payment
All payments should be made to the Conference Secretariat.
You may choose from any of the following methods of payment):
BANK TRANSFER Ask for Details to the Secretariat
Deadline for this way of payment is April 15, 2008
All payments must be forwarded in EURO and should be net of bank charges.
On all remittances the name of the sender should be clearly mentioned as well as the payment description (e.g. Mr. A. Sender, EURO 100, representing: 50 registration fees 50 hotel accommodation deposit for the LC Conference.
I have remitted the sum of EURO NET OF BANK CHARGES on in the name (remitter) through (name of Bank)
CREDIT CARD
(only VISA and MASTERCARD are accepted)
For security reasons, if you select this way of payment you will receive the authorization form from the Secretariat by email or by fax.
For any information concerning the registration please contact the Secretariat

FOR THE CONFIRMATION OF THE RESERVATION YOU HAVE TO TRANSFER THE FULL AMOUNT

CANCELLATIONS
Written cancellation TILL 15/3/2008 FULL REFUND MINUS THE BANK EXPENSES
Written cancellation AFTER 15/3/2008 NO REFUND