15TH WORLD CONGRESS OF CRYOSURGERY ST.PETERSBURG 2009
REGISTRATION FORM FOR INTERNATIONAL DELEGATES

 

 

 

HELP:            You are on

REGISTRATION - payment option "WEB PAYMENT" step 1


PLEASE, READTHE NOTES BELOW CAREFULLY
CLICK THE CHECKBOXES TO CONFIRM PERUSAL,

AND THEN FILL OUT THE REGISTRATION FORM

 

WHEN YOU HAVE FINISHED CLICK ON THE BUTTON

"SUBMIT QUERY"

* must be filled in or clicked

VISA:

                                    

Please remember that you must apply for a tourist visa before entering the Russian Federation

 

Read *

 

REIMBURSEMENT POLICY:

 

By written request to ISC:  OrganizingOffice@societyofcryosurgery.org

  • before July 15th:      100 % minus Euro 50 for our registry fees and banking charges
  • before August 15th:  50 % minus Euro 50 for our registry fees and banking charges
  • after August 15th :   no refund

Read and accepted *

NOTICE

1.     By continuing this payment procedure you confirm that you are informed of the following:

a)     Sorry, no cheques are accepted

b)     Bank charges are for your account

c)      Hotel and tour rates may be non reimbursable. Besides they may be subject to revised conditions issued by local tourist service providers or hotels, as well as fluctuations in the exchange rate.

2.     Should any of the contingencies mentioned under 1.c) occur, ISC will immediately advise you.

Read and accepted *

 

PRIVACY POLICY:

 

ISC collects your data solely in order to record and support your participation in this congress and will not share such information without your specific written consent.

Read and approved *

15TH WORLD CONGRESS OF CRYOSURGERY ST.PETERSBURG 2009
REGISTRATION FORM FOR INTERNATIONAL DELEGATES

 

About Abstracts:

  •  All accepted Abstracts will be published free of charge in the Meeting Record.

 

NOTES:

About Part I, Part II and Part III

  • Part I refers to the period from the 1st to the 4th of October and is dedicated to
    the delegates, the Congress and its events, with the opportunity for attendees
    to participate in organized excursions to St. Petersburg attractions.

 

  • Part II refers to the period from the 4th to the 6th of October and comprises a
    two day tour of St. Petersburg and surroundings for everyone.

  • Part III covers an additional period of three days, from the 5th until the 8th of
    October, covering travel to and stay in Moscow with guided visits to its main sights.
(see "SIGHTSEEING PROGRAM", last section of the PROGRAMME)

 

PART I (1-4 October 2009)

For DELEGATES

For ATTENDEES

A.

  • 3 nights hotel room in 4-star superior hotel
    ”Angleterre”, breakfast included

B.
  • Access to all scientific sessions
  • Conference materials
  • Correspondent membership
  • Coffee / tea breaks
  • Lunches / welcome banquet / two dinners

 

A.

  • 3 nights hotel room (shared with delegate) in 4-star superior hotel ”Angleterre”, breakfast
    included

B.
  • Welcome banquet / two dinners
  • 2 excursions to St.Petersburg attractions (see sightseeing program), lunches included

 

 

PART II (4-6 October 2009)

For DELEGATES, GUESTS and (GUEST) ATTENDEES

 

  • Two more nights in hotel "Angleterre" + 2 days organized touring of St. Petersburg (see sightseeing program), lunches included

 

PART III (5-8 October 2009)

For DELEGATES, GUESTS and (GUEST) ATTENDEES
  • Transfer to Moscow in business class train compartment, 3 nights in 4-star hotel "Borodino", 2 days of guided excursions to main sights (see sightseeing program), lunches included

 



15TH WORLD CONGRESS OF CRYOSURGERY ST.PETERSBURG 2009
REGISTRATION FORM FOR INTERNATIONAL DELEGATES

 

A - GENERAL DETAILS DELEGATE
Name/Surname * Home Address: *
Title: * Speciality: City/State: *
Gender * Male  Female Country: *
Date of Birth * DD  MM  YYYY Phone*/Fax    
Passport No. E-mail:
Organization
GENERAL DETAILS ATTENDEE (if sharing delegate’s room)
Name/Surname: Date of Birth DD MM YYYY
    Passport No. Country
REGISTRATION Before 30/05/09   Before 15/07/09 After 15/07/09 Amount
Delegate Part I 1 Person €830 €930 €1,030
Part II 1 Person €580 €680 €780
Part III 1 Person €900 €1,000 €1,100

Attendee,

if sharing

delegate’

s room

 Part I 1 Person €465 €565 €665
Part II 1 Person €290 €390 €490
Part III 1 Person €450 €550 €650
Room preference: twin  double  
Dietary requirements (if any, pls specify)  
TOTAL AMOUNT PAYABLE A € 

I/We accept all the conditions and notices listed in this Registration Form *

Date: _________              Signature:________________

(Not needed if you are paying by Credit Card)

 

 

 

15TH WORLD CONGRESS OF CRYOSURGERY ST.PETERSBURG 2009
REGISTRATION FORM FOR INTERNATIONAL DELEGATES

 

B - GENERAL DETAILS GUEST
Name/Surname Home Address:
Title:  Speciality: City/State:
Gender: Male  Female Country:
Date of Birth DD  MM  YYYY Phone/Fax    
Passport No. E-mail:
Organization
GENERAL DETAILS GUEST ATTENDEE (sharing guest ’s extra room)
Name/Surname: Date of Birth DD MM YYYY
    Passport No. Country
REGISTRATION Before 30/05/09 Before 15/07/09 After 15/07/09 Amount

Guest in extra

room

Part I 1 Person €830 €930 €1,030
Part II 1 Person €580 €680 €780
Part III 1 Person €900 €1,000 €1,100

Guest

attendee, if

sharing

guest’s extra

room

 Part I 1 Person €465 €565 €665
Part II 1 Person €290 €390 €490
Part III 1 Person €450 €550 €650
Room Type: twin  double  
Dietary requirements (if any, pls specify)  
TOTAL AMOUNT PAYABLE B € 

Date: _________              Signature:________________

(Not needed if you are paying by Credit Card)
TOTAL AMOUNT PAYABLE A+B € 

I/We accept all the conditions and notices listed in this Registration Form*

HELP: CLICK ON THE BUTTON BELOW TO CONTINUE