EAHMH Conference Registration Form

‘Cash and Care: Economics and Values in the History of Medicine and Health’

2-5 September 2015, Cologne, Germany

Please print and return by post(or as pdf by email) to:

Maria Griemmert, Institut für Geschichte und Ethik der Medizin, Uniklinik Köln,

Joseph-Stelzmannstr. 20, 50931 Köln, Germany.

Fax: +49 (0)221478 6794.Email:. Website:

For payment instructions, please see below.

Participant Information:

To avoid misunderstanding, please use only one form per participant

Title______

*First name______

*Last name______

Organisation______

Status: (eg Student)______

*Address______

*City______*Postcode______

County or State______

*Country______

*Telephone Number______

Fax Number______*Email______

* Required field

Conference Fees:

Conference fees include admission to the conference sessions, twolunches, registration materials and the welcome reception.

Members of EAHMH and SSHM benefit from a lower conference fee. If you are a non-member and would like to join, in the payment section please select the member conference fee and add the cost of membership to your total payment.

EAHMH Conference Registration Form

‘Cash and Care: Economics and Values in the History of Medicine and Health’

2-5 September 2015, Cologne, Germany

Options / Fee
EAHMH/SSHM Member Conference Fee / €160,-
After 15 July:
€ 195,-
Non–Member Conference Fee / €210,-
After 15 July:
€ 245,-
Student Conference Fee if member of EAHMH / € 140,-
After 15 July:
€ 175,-
Student Conference Fee, non-member / € 190,-
After 1 July:
€ 225,-
Membership of EAHMH for 2015 and 2016
(normally € 25,- per year) / €40,-
Additional / optional fees
Conference dinner / € 35,-
Boat trip / Extra charge / to be paid in cash on registration in Cologne

Bursaries:

The European Association for the History of Medicine and Health has a limited number of travel bursaries available for doctoral students up to a value of € 250. Priority will be given to those presenting papers at the conference. To apply, please contact Dr Jonathan Simon, the Treasurer of the EAHMH: .

The Society for the Social History of Medicine is also committing a number of travel bursaries for SSHM student members attending the conference. Details can be found here: For more information and to apply, please contact the SSHM Treasurer (

Deadline for appilications: 08.07.2015.

EAHMH Conference Registration Form

‘Cash and Care: Economics and Values in the History of Medicine and Health’

2-5 September 2015, Cologne, Germany

Special Access requirements:
(eg wheelchair access)

Please specify: ______

Dietary requirements - please tick as appropriate:

Vegetarian

Other: Please specify______

Payment (for payment instructions please see below):

Options / Amount Payable
EAHMH / SSHM Member Conference Fee
Before 15 July € 160,- After 15 July € 195,- / €_____
Non–Member Conference Fee
Before 15 July € 210,- After 15 July € 245,- / €_____
Student Conference Fee, if member of EAHMH
Before 15 July € 140,- After 15 July € 175,- / €_____
Student Conference Fee, non-member
Before 15 July € 190,- After 15 July € 225,- / €_____
Membership of EAHMH, 2015 and 2016 / €_____
Additional / optional fees
Conference diner / €_____
Total / €_____

Payment Instructions:

Participants should send money to:

Beneficiary:

Klinikum der Universitaet zu Koeln

IBAN: DE04 3702 0500 0008 150000

BIC:BFSWDE33

Reference: 3610 0591 31[please add your name]

It is crucial that on payment, you mention this Reference! To avoid misunderstanding, only one payment per participant.

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