Online registration Strasbourg

EUCONSULT SUMMER CONGRESS

STRASBOURG, 18-20 JUNE 2015

COLLABORATION IN THE CURRENT SOCIAL ECONOMIC CLIMATE

ONLINE REGISTRATION

Please use this form to register your participation

All fields marked with * are required


    I would like to register the following number of participants as follows:

    Early-bird registration (by 15 May 2015):

    x Member rate (€699) - x Non-Member rate (€775) - x Partner rate (€299)

    Standard registration (after 15 May 2015):

    x Member rate (€749) - x Non-Member rate (€825) - x Partner rate (€349)


    Hotel Accommodation

    Hannong Hotel - two nights’ accommodation and breakfast are included in the congress registration fee. Additional nights (€120,00 single occupancy / €140,00 double occupancy) are paid by participants direct to the hotel, together with any extras.

    Date of arrival: - Date of departure:

    Please provide the following number of participants with vegetarian meals:

    x Vegetarian (including fish)

    x Vegetarian (not including fish)

    I have the following request/special requirement:


    Name of Participant:

    Email of Participant:

    Mobile phone number of Participant:

    Name of Partner (not attending conference):

    Name of Additional Participant/s (attending conference):

    Email of Additional Participant/s (attending conference):


    Company:

    Address (only required for non-members, include zip and city):

    Country:

    I wish to register the above for the Summer Congress


    * Name:

    * Email:

    [ A copy of this form will be sent to you by e-mail. ]

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