REGISTRATION FORM

In order to REGISTER for the Conference you have to fill this Registration form

PLEASE FILL THE FORM  

 

TITLE:        SEX:

FAMILY NAME:    NAME:

AFFILIATION:

ADDRESS:

CITY:   POSTAL CODE:

COUNTRY:   TEL:  

FAX:   E-MAIL:

 

Registration fees (in Euro)

                                                                   Before 20th May                 After 20th May

Full Registration a

   Regular, ETS or TS members             300 €                              350 €    

   Regular, non-members                         350 €                              400 €

   Student, ETS or TS members             100 €                              125 €

   Student, non-members                           120 €                             150 €

One-day Registration b   Monday      Tuesday     Wednesday

   Regular, ETS or TS members               100 €                              120 €

   Regular, non-members                          120 €                              140 €

   Student, ETS or TS members                 50 €                                60 €

   Student, non-members                            50 €                                60 €

Accompanying Persons c                        120 €                             140 €

Accompanying person Name:

Education Course d                                

Members                                                         100 €                               100 €

Non Members                                                120 €                               120 €

Conference Dinner

   For One-day Registrants only                     45 €                                45 €

TS: Teratology Society

a Admission to all sessions (except Education Course), conference material and abstract book, coffee/tea and lunch during the conference, Welcome Reception, Conference Dinner, and Monday evening program

b Admission to all sessions (except Education Course), conference material and abstract book, coffee/tea and lunch during the respective day, and Monday evening program. It does not include admission to the Conference Dinner.

c Admission to coffee/tea and lunch during the conference, Welcome Reception, Conference Dinner and Monday evening program

d Coffee/tea, lunch, and course book

Registration subtotal 1= €

Tourist Programme:

Social Programme (During Conference)

Guided City Tour 25 € X person(s)              Byzantine Museum 15 € X person(s)

Post Conference Tours (23 September 2004)

Mount Athos Cruise 60 € X person(s)         Vergina  35 € X person(s)

Minimum participation required is 15 persons. Meals and entrance to museums are not included. The ETS has no responsibility for tourist programme arrangements.

Tourist subtotal 2= €

Hotel Accommodation:

We have reserved a contingent of rooms at Electra Palace Hotel and other hotels within walking distance. For room reservation, fill out the reservation form on-line at the Conference website or fill out the enclosed hotel reservation form and send it by fax or mail to the Conference Secretariat. Payment for accommodation should be made within 10 days after confirmation of the reservation by the Conference Secretariat otherwise it will be automatically cancelled. Reservations will be assigned on a first-come, first-served basis. After August 15th, 2004, we cannot guarantee room availability at the prices indicated on the reservation form. Read carefully the cancellation policy.

                 

ELECTRA PALACE HOTEL                                        ANDROMEDA HOTEL

               

A.D. IMPERIAL PALACE HOTEL                                           CITY HOTEL

HOTEL LUXEMBOURG

 

HOTEL Category Single Double Single use Double Walking distance      from Conf. venue
ELECTRA PALACE  Deluxe 149 € - 165 € 0
ANDROMEDA  Deluxe 121 €

138 €

 154 € 2 min  distance
A.D. IMPERIAL A 83 € -   94 € 15 min
CITY HOTEL A 115 € 121 € 131 € 2 min
LUXEMBOURG    B+ 81 €                - 102 € 2 min 

Number of Rooms   X Days = Total Amount

Check In Date    Check Out Date

Special Requests: I am Physically Challenged   I am Vegetarian

Accommodation subtotal 3= €

Grand Total (please add sub totals 1,2,3)=   €

PAYMENT AND CANCELLATION
Payment: All payments must be forwarded in Euro and made by bank transfer into the following account until August 30, 2004:
Bank: Eurobank (Branch: 0030, address: Karolou Diel Str., Thessaloniki - Greece)
Account Number: 0026.0030.98.0100704149. Swift: EFGBGRAA. Account holder: Mr. George Samaras. Reference: Name of participant and Registration Number
Payments must be net of bank fees, i.e. registrants must pay all transaction expenses charged both in Greece and abroad. For registrations received after August 30, you will be contacted for alternative payment methods by the Conference Secretariat.


Cancellation policy: Cancellations must be sent in writing to the Conference Secretariat, otherwise they will not be considered. Registration fees minus bank expenses will be refunded for cancellations before 1st July 2004. No refunds can be made thereafter. Hotel accommodation fees minus bank expenses and 10% of processing fees will be refunded for cancellations before 1st August 2004; one night will be charged for cancellations between 2nd and 15th August; two nights will be charged for cancellations between 16th August and 4th September; no refunds of hotel accomodation fees will be made for cancellations after 4th September 2004.