REGISTRATION FORM

XIV INTERNATIONAL SEMINAR ON PAEDIATRIC ORTHOPAEDICS

(Madrid,7-8 November 2008)

 

Name
Surname
Address
Zip Code
City
Country
Phone
FAX
E-mail
Web Site
       

REGISTRATION CUOTAS

Before October 15Th

On Site

Delegates:

550 €

600 €
Residents: 350 € 400 €
Farewell dinner: 80 € 80 €
I will attend the Pre-meeting Course: Yes No

Total Amount:

( The above mentioned prices include VAT)  

 

METHOD OF PAYMENT

  • Bank Transfer (free of charges to the receiver)
  • Reference:  XIV International Seminar on Paediatric Orthopaedics

Bank account data :

Banco Sabadell Atlántico.

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

Nº de cuenta: 0081 7545 85 0001018008

 

            

  •  For credit card payments, please contact the Secretary at (brupa@ohsjd.es)

 

      

 

 

 IMPORTANT NOTES

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

•  The Pre-Seminar Course has the attendance limited to 75 people . Registration for the event will be admitted on a first come first served basis.

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

•  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 befote October 15th, 2008 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, 2008. No refunds will be made alter that date.