14th EAPD Congress

Palazzo dei Congressi

Lugano SWITZERLAND

June 20th – 23rd, 2018

REGISTRATION FORM
Please fill in one registration form per participant and send this form by fax or email before March 1st (early bird), before May 1st (normal registration) before June 15th (late registration) to:

Congress Secretariat Phone: +41 79438 40 40

Theaterplatz 5 Fax: +41 56470 23 87

CH-5400 Baden / Switzerland e-Mail: https://www.eapd2018.org

r Mrs/Ms r Mr Title:

Last name:

First name:

r Honorary or retired r Student r EAPD-Member r Non-Member

Country: ______Zip Code: ______City:


Street: ______Phone:

Mobile: ______E-Mail:

Accompanying Person r Mrs/Ms r Mr Title:

We recommend to make the reservation online: http://kongressadministration.ch/detailen.php?id=18

CHF / Currency conversion
Wednesday, June 20th, 2018
r Pre-Congress / 250 / convert
Thursday to Saturday, June 21st to 23th, 2018
r Main Congress EAPD, Honorary and Retired / 400 / convert
r Main Congress EAPD, Undergraduate Student and
Postgraduate Student Member EAPD / 450 / convert
r Main Congress EAPD, Postgraduate Student, Non-Member EAPD / 850 / convert
r Main Congress EAPD, EAPD-Member / 650 / convert
r Main Congress EAPD, Non-Member / 850 / convert
r Accompanying person (incl. Welcome Reception and National Party) / 150 / convert
Social program
r Welcome Reception for Participants (Wednesday, June 20th, 2018)
(Registration necessary) / 0
r Gala dinner for Participants (Thursday, June 21st, 2018) / 120 / convert
r Gala dinner for accompanying person (Thursday, June 21st, 2018) / 120 / convert
r National Party for Participants (Friday, June 22nd, 2018)
/ 80 / convert
Grand Total in Swiss Francs (CHF)

Method of Payment

r Bank Transfer:

I agree to transfer the registration total amount of CHF to the following bank account:

Please note, that all bank transaction fees that might arise while transferring the amount, have to be covered by you. If those fees are not covered by you, your payment will not be in full amount and you will have to cover the rest on site.

Bank / UBS AG, CH-5401 Baden, Switzerland
Account number / 209-862647.01Q
IBAN / CH92 002092098626 4701 Q
BIC / UBSWCHZH80A
Details of payment / EAPD 2018
Account name / Kongressadministration L&H AG, 5400 Baden

r Credit Card:

I hereby give permission to the organizer to charge the total amount to my credit card:

Name of Credit Card
(VISA, MasterCard)
Credit Card Holder
Card Number
Expiry Date (Month/Year)
CVD Code
Security Number (back of card) / (Visa, MasterCard: 3-digit number printed on the back of your card)

Various regulations apply for entering Switzerland. A basic distinction is made between citizens of EU and EFTA countries and those of other countries. The State Secretariat for Migration is the responsible authority in Switzerland (https://www.sem.admin.ch/dam/data/sem/einreise/merkblatt_einreise/mb-grueezi-e.pdf)

Request for Visa Letter

r Do you need an invitation letter for Visa?

Please provide us herewith with your passport details
Date
Signature

Remember: Registration will be closed on June 15th, 2018

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