Registration for the European Medical Travel Conference 2011

from 27th to 29th of April, 2011 in Barcelona, Spain

Select your package and provide your payment and registration data please.
All fields marked with a * are mandatory fields.

Personal information

Gender:*	Mr. Mrs.
Institution:*
Title:
First name:*
Name:*
Street:*
ZIP-code:*	City:*
Country:*

Phone:*
Mobile:
Fax:
Website:
e-Mail:*
VAT No.:	Obligatory for EU based companies

Travel details

	I plan my arrival on: April until * I plan to depart on: April until
	I will let you know later
	I plan to take part in the Welcome Reception at 27th 19:30 h

Registration fee

Stand owner see special form!

Full registration (incl. see below)	460€
Non‐Profit Organisation	390€
Student	70€
No Registration	0€ (gala dinner ticket required)
Gala Dinner Ticket	90 € extra

The congress fee includes: full access to all events, Welcome Reception,
congress documentation, B2B meetings, bus transfers,one lunch,
coffee and soft drinks, certificate of attendance.
For room reservation go to www.hesperia.com (Hesperia Tower Hotel) or call: 0034 91 398 44 00

Note: for a valid registration as a student we need to have a copy of your student pass. We only can accept true students below the age of 28 with a full inscription to an academic institution like an university. Please make sure to send us valid document about your student status. A student registration does not entitle you to participate in business meetings. Gala Dinner is not included.

Payment selection

	Credit card (VISA, Mastercard, American Express)
	Bank Transfer

Payment Conditions:
We accept credit cards (only VISA, Mastercard and American Express) or bank transfer.
Registration is only active, if payment is made within 10 days after sending this form (credit card immediately). By pressing "Register" your data will be saved and you are being forwarded to the payment module.

Agreements and terms

	I have read and understood the terms and regulations *
	I accept the following cancellation policy: Cancellation with full refunding is possible until 31st of January 2011. Refunding is only 50 % in case of cancellation until 28th of February 2011. After this date no refunding is possible. *