Registration form EM Conference 2012

 


Towards a Gold Standard in the Practice of Electroning Monitoring


8 -10 November 2012
Stockholm, Sweden
 
Title*
Family name*
First name*
Email address*
Telephone number*
Official title / Position*
Organisation*
 
Address for correspondence
Steet + no.*
Postal code*
City*
Country*
 
Contact name in case of emergency*
Contact phone number *
 
Workshops
I would like to attend the following workshops:
and
 
Accommodation
Do you need accommodation?*
If yes, what is your arrival date?
If yes, what is your departure date?
I require a single or double room
 
I will attend the following:
Thursday 8 November
Friday 9 November
Saturday 10 November
 
Additional information
Do you require a translator?
In which language?
Would you like to receive promotional materials from sponsors?*
 
Do you have special dietary requirements?
E.g. vegetarian, no fish, allergies.
 
After registration you will be sent an invoice and confirmation. The conference fee of €300 is payable in advance by bank transfer. This includes two nights hotel accommodation at the conference venue (Aronsborg) and full board during the conference.
Delegates will be expected to meet their own travel costs and the cost of any additional stay at the venue.
The bank costs related to the payment order should be covered by the payer; CEP should receive the full amount.
 
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