Scientific Programme

Congress Registration Form
Payment
Payment of fees must accompany all registration forms. No registration will be confirmed until payment is received.
Payment can be made by the following methods:
• Credit cards: Visa and Mastercard.
• Personal or Company Cheque (In Euros) – Cheques should be made payable to Obesity International Trading Ltd
• If you wish to pay by Bank draft or be invoiced please contact the Congress Secretariat.
Registration fees
Social Programme
Total payment enclosed:
€…...….
€……....
€……....
1. ® I wish to pay by credit card
Card type: Visa ® Mastercard ®
Cardholder’s name ____________________________________________________ Expiry date ®® / ®®
Credit card number ®®®®-®®®®-®®®®-®®®®
Card holder’s signature
____________________________________________________
2. ® I enclose a cheque made payable to Obesity International Trading Ltd
3. ® Please send me an invoice
Conditions
We would like to use your details to send you information about future EASO and IASO congresses.
Please tick here ® if you do not wish us to do this.
Please note that we will NOT pass your details to any other organisation.
Signature –––––––––––––––––––––––––––––––––––––– Date –––––––––––––––––––––––––––––––––––––––––––––––––
Journals
® I am a member of IASO and wish to subscribe to The International Journal of Obesity at the reduced member rate (source code
- OF 02 06 G IA)
® I wish to subscribe to The International Journal of Obesity at the special conference delegate rate (source code - IJ 02 06 C IA)
® I am a member of IASO and wish to subscribe to The International Journal of Pediatric Obesity at the reduced member rate.
® I wish to subscribe to The International Journal of Pediatric Obesity at the reduced rate for Congress attendees
® I am a member of IASO and wish to subscribe to Obesity Reviews at the reduced member rate.
® I wish to subscribe to Obesity Reviews at the standard rate.
* Please do not include payment with your registration booking. You will be contacted directly by the publisher regarding your subscription upon
receipt of the completed registration form either by post or email.
® Plase send me information on the Young Investigator Awards and Travel Grants.
* Please see the registration brochure and congress website for information on our registration inclusions and cancellation policy.