24th European Congress of Pathology - The Pathological Society of ...

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D Payment Total amount to be paid: EUR Hotel reservations can be made online via the congress website: www.esp-congress.org. ❑ I have transferred the amount (free of any bank charges) of EUR on (date) to your bank: CPO HANSER SERVICE GmbH w / ECP 2012 Bank code: 100 700 24 Deutsche Bank PGK AG BIC: DEUT DE DB BER Account number: 5 856 786 20 IBAN: DE73 1007 0024 0585 6786 20 or ❑ I use the following credit card: ❑ Visa ❑ American Express ❑ Mastercard / Eurocard Name as indicated on the card: Street: Postal code, City: Country: Card number: Security number: (see the back of your credit card) Expiry date: ❑ I will attend the 24th European Congress of Pathology only if my abstract has been accepted. Should my abstract not be accepted, the registration fee will be refunded upon my request. ❑ I agree that my name, institution, city and country will be published in the “Who is Who” on the internet. I herewith accept the general conditions mentioned below. I agree that for the purpose of congress organisation only my personal data will be registered by using electronic data processors. My name and address will be listed in the congress list of participants and provided to sponsors and exhibitors for invitation purpose. Date Signature General Conditions The European Society of Pathology (hereafter named ESP) has commissioned CPO HANSER SERVICE with the organisation and execution of the conference. The registration for the conference and the confirmation thereof forms a contract between the conference attendee and the ESP regarding attendance at the conference. This contract is based on the following General Terms and Conditions. Registration Fees for the 24 th ECP 2012 // Attendance at the congress is subject to a registration fee. Registration for the conference and booking of services are binding for the attendee. The fees must be paid in advance on the dates specified. Any bank charges will be charged to the payer. Cancellation of Congress Attendance // In the event that the attendance at the congress is cancelled by 30 April 2012, the registra tion fee minus a processing fee of EUR 100 will be refunded. The attendee will have the option to prove that the expenditure for processing is less than EUR 100 of the registration fee. No refund will be made if the registration is cancelled at a later date. Please notify the conference office of your cancellation in writing. Programme Changes // The ESP reserves the right to make any necessary changes to the programme at short notice. There will be no pro rata refund of registration fees for cancelled papers or changes to the programme. Liability of the ESP // The ESP is the organiser of the scientific conference. It is liable within the scope of the laws of Belgium. Its lia - bility – regardless of the legal cause – is limited to cases of gross negligence and wilful misconduct. The ESP is, however, also liable for slight negligence if and to the extent that cardinal obligations under the contract are breached. Place of Performance, Venue of Jurisdiction // Prague shall be the exclusive place of performance and Berlin venue of jurisdiction for all parties. The laws of the Federal Republic of Germany shall apply. 24
24 th European Congress of Pathology 8 – 12 September 2012 · Prague Congress Centre, Czech Republic e REGISTRATION FORM e TOURS Please forward the completed form to: Please complete using block letters or typewriter AIM GROUP INTERNATIONAL Phone: +420 – 284 007-343 Prague Office Fax: +420 – 284 007-360 PomeznÍ 7 / 1387 E-mail: ecp2012@aims-international.com 18200 Prague, Czech Republic A Personal details ❑ Ms ❑ Mrs ❑ Mr ❑ Dr ❑ Prof Family name: Institution / Department: Mailing address: ❑ private address ❑ institute address Street: Postal code, City: Country: First name: Phone: Fax: E-mail: B Tours Sunday, 9 September 2012 Number of persons EUR Old Town Tour 09:00 - 12:00 EUR 21,00 x EUR 21,00 = Prague Castle Hradcany Tour 14:00 – 18:00 EUR 22,00 x EUR 22,00 = Monday, 10 September 2012 Number of persons EUR Old Town Tour 09:00 - 12:00 EUR 21,00 x EUR 21,00 = Karlovy Vary 09:00 - 18:00 EUR 86,00 x EUR 86,00 = Prague Castle Hradcany Tour 14:00 – 18:00 EUR 22,00 x EUR 22,00 = Tuesday, 11 September 2012 Number of persons EUR Cesky Krumlov 08:00 – 18:00 EUR 86,00 x EUR 86,00 = Josefov – The Jewish Quarter and the Old Town 09:00 – 13:00 EUR 33,00 x EUR 33,00 = Dinner Cruise 19:30 – 22:30 EUR 65,00 x EUR 65,00 = Wednesday, 31 September 2012 Number of persons EUR Prague Castle Hradcany Tour 09:00 – 13:00 EUR 22,00 x EUR 22,00 = Karlstejn 13:00 – 17:00 EUR 60,00 x EUR 60,00 = Subtotal B 25
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