[an error occurred while processing this directive] IMED 2011 - Registration
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IMED 2011 • Vienna, Austria • February 4-7,2011
Online Registration Form
PARTICIPANT:
Last Name:  *
First Name:  *
Title:
Institution:
Department:
Street:  *
City:  *
Postal Code/ZIP:  *
Country:  *
Phone:  *
Fax:  *
E-mail:  *
  * required

REGISTRATION FEES IN EUR:

 
On/before December 22, 2010
after December 22, 2010
Participant EUR € 395.00 EUR € 495.00
Students* EUR € 195.00 EUR € 275.00

*with student identification only!

SOCIAL PROGRAM:

Friday, February 4, 2011 Welcome Reception (Hotel Hilton)
Number of persons:
Saturday, February 5, 2011 Reception by the Mayor of Vienna (City Hall)
Number of persons:


HOTEL RESERVATION (OPTIONAL):
Please complete the following part only if you need a hotel reservation!

Hotel reservations must be made as soon as possible but no later than December 28, 2010. After this date hotel reservations cannot be guaranteed and depend on availability.

 
Date of Arrival:
Time:
Date of Departure:
Time:
Number of Nights:
 
Number of Persons:
 

Hotel Artis (4* Category)
- approx. 2,5 km from conference venue

Single Room (€ 80.00 EUR)

Double Room (€ 120.00 EUR)

Hotel Lindner (4* Category) - approx. 2 km from conference venue

Single Room (€ 109.00 EUR)

Double Room (€ 149.00 EUR)

Rates in all three conference hotels are per room per night and include breakfast.
In order to make a hotel reservation a credit card number (Visa or MasterCard only)
is necessary to guarantee the hotel reservation. Please complete the 'Payment' section below. No hotel reservations will be made without credit card guarantee.

Hotel Cancellation Policy:

Your credit card will serve as a guarantee for your hotel reservation. The hotel reserves the right to charge a one night penalty in case of no-show or cancellation after 
January 5, 20011.


Hotel Hilton (5* Category) - Conference Venue

Single Room (€ 175.00 EUR)
Double Room (€ 185.00 EUR)

Please make your hotel reservation directly at the Hilton hotel by using the congress specific Hilton online reservation link


Comments for the conference office:
 


PAYMENT:

Bank transfer: Payments of registration fees must be made without charges to the beneficiary, payable to "IMED ", account number: 06210052680, IBAN: AT11 14000 062100 52680, BIC: BAWAATWW, bank name: BAWAG

Credit card: Visa or MasterCard only. Please check appropriate box(es):

I wish to use my credit card as a guarantee for my hotel reservation.

I wish to pay the registration fee with my credit card.

Card:

Card Number:

Card Expiry (Month/Year):

Name on Credit Card:

Authorized amount: €


  I herewith accept all cancellation and liability policies.