REGISTRATION FORM

XVI INTERNATIONAL SEMINAR ON CHILDREN´S FRACTURES

Valencia, 2-4 November 2011

 

Name
Surname
Address
Zip Code
City
Country
Phone
FAX
Email
URL
       

REGISTRATION FEES

Hasta el 15/10/2011

In Situ

Delegates:

550 €

600 €
Residents: 350 € 400 €
Farewell Dinner : 80 € 80 €

TOTAL Amount

(Los precios arriba indicados incluyen IVA )  

 

FORMA DE PAGO

  • Bank Transfer (free of charges to the receiver)
  • Reference :  XVI INTERNATIONAL SEMINAR ON CHILDREN´S FRACTURES

Bank account data:

Banco Sabadell Atlántico.

SWIFT: BSABESBBXXX
Ave. Sancho el Fuerte 26, 31008 Pamplona, España

Account Number: 0081 7545 85 0001018008

 

            

  • For credit card payments, please contact us at brupa@ohsjd.es

 

      

 

 

 IMPORTANT NOTES

•  The above mentioned fees included attending to scientific sessions, coffee and course material.

•  The attendance is limited to 100 people. Registration for the event will be admitted on a first come first served basis.

•  To attend to the Farewell Dinner, please, mark the corresponding box and add the indicated amount to the total.

•  To register as Resident, certificate of training director or copy of student card is required.

•  All registrations received before October 15th, 2011 will be confirmed.

•  If necesary, please, use copies of this form to register.

•  On line registration www.depablos-bruguera.com

•  When paying by bank transfer, a copy of it must be enclosed together with the Registration Form or, on the contrary, it will be returned.

•  Sorry, only cash will be accepted as payment for on-site registration.

•  All cancellations must be confirmed in writing to the Secretary.

•  60 € will be charged for cancellations received before October 15th, 2011. No refunds will be made after that date.