Group Registration Form

A. COMPANY’S INVOICING DETAILS (please fill in capital letters):

Company Title:
Activity of Company:
Company’s VAT No:
Contact Person: / E-Mail:
Postal Address:
City: / Postal Code: / Country:
Telephone: / Fax:

B. REGISTRATION

Registration fees / EARLY / LATE / ON SITE
Up to December 1, 2017 / From
December 2, 2017 to February 7, 2018 / February 8, 2018 and onwards
Participants / 550 € / 650 € / 750 €
Trainees / 350 € / 450 € / 550 €
Residents / 350 € / 450 € / 550 €
Nurses / 350 € / 450 € / 550 €
Technicians / 350 € / 450 € / 550 €
Researchers / 350 € / 450 € / 550 €
Investigators / 350 € / 450 € / 550 €
Workshop I: MRI Course / 170 €
Workshop II: Ultrasound and biopsies / 35 €
Workshop III: Fry or frozen / 35 €

The above rates include VAT 21%.

In case of change of national VAT policy, the organizer reserves the right to adjust the rates accordingly.

C. REGISTRATION/PARTICIPANTS’ DETAILS (please fill in capital letters):

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E-MAIL / Registration Category / Registration fee /
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E. PAYMENT

All payments should be made in EURO without charges for the beneficiary, to the order of ERASMUS CONFERENCES TOURS & TRAVEL S.A. as follows:

By Bank Transfer
Bank name: ALPHA BANK
Account holder: ERASMUS S.A
Bank’s Address: 14 VENIZELOU STR., 10564 ATHENS, GREECE
Account Number: 103-002320-000855
IBAN: GR29 0140 1030 1030 0232 0000 855
SWIFT code: CRBAGRAAXXX / Bank name: EUROBANK CYPRUS LRD
Account holder: ERASMOS TOURISTIKIES EPICHIRISIS AE
Bank’s Address: 41 ARCH.MAKARIOS III AVENUE, 1065 NICOSIA, CYPRUS
Account Number: 200100279156
IBAN: CY50018000010000200100279156
SWIFT code: ERBKCY2N
Important Note: A copy of the bank transfer receipt is to be sent to the Symposium Organising Secretariat by e-mail at , along with the respective Registration & Accommodation Form (offline) or Booking order (online), for confirmation of the relevant bank transfer. Upon payment, we will send you the respective confirmation voucher by e-mail.
By Credit Card
Visa / Master Card / American Express / Maestro
Card Number:
Card Owner’s Name:
Expire Date: / Card Verification Number:

CANCELLATION POLICY AND REFUND

Registration: Written notification, sent toErasmus Conferences Tours & Travel S.A. is required for any cancellation or change to your Registration.Refunds will be made as follows (according to the postmark on the notice of cancellation):

·  Up to and including Νovember 24th 2017: 50% refund

·  From November 25th 2017 and onwards: No refund will be granted.

·  All refunds will be made within two months after the end of the Symposium minus the Bank charges

Please note that respective receipts will be given to you during registration days on site