calage.gif manquante home
calage.gif manquante home
calage.gif manquante
calage.gif manquante  calage.gif manquante
calage.gif manquante
calage.gif manquante
calage.gif manquante calage.gif manquante   calage.gif manquante
img_blanche.gif manquante
calage.gif manquante
calage.gif manquante
calage.gif manquante   calage.gif manquante   calage.gif manquante
img_blanche.gif manquante
calage.gif manquante
calage.gif manquante
calage.gif manquante   calage.gif manquante   calage.gif manquante
img_blanche.gif manquante
calage.gif manquante



ONLINE REGISTRATIONS ARE OPEN UNTIL APRIL 23rd.


CAUTION!
On-site, AFM BioMed Conference will accept cash only. Paying by bank transfer is highly recommended.

 

 

Please inform all *.

Contact Details

Mr : Mrs :
 
First Name* :
Last Name* :
Institution/Affiliation/Company* :
Address 1* :
Address 2 :
Zip/Postal code* :
City* :
State :
Country* :
Phone* :
 Fax* :
E-mail* :
Please repeat the info above (protection)* : 
 
 
Your stay in Croatia
 
Arrival date (dd/mm/yyyy) :

 Airport*     

                                 (Zagreb, Pula, Trieste, other...)

Departure date (dd/mm/yyyy) :  from 
Total number of nights :
Vegetarian diet : Yes No
 
Other Diet, please specify :
 
 
Registration Fees
Registration fees in Euro (inc. 7% VAT)

 

Standard Registration
320€

If YOU ARE A STUDENT 1
220 €

  

1 Graduate Student, PhD Student or Postdoc
 
Billing Address
 
Company Name/Affiliation* :
VAT N°* (non-EU applicant must type NEU) :
Address 1* :
Address 2 :
Zip/Postal code* :
City* :
State :
Country* :
Phone* :
Fax* :
E-mail* :
 
Payment Methods
 
Bank transfer (only method available at the moment)  

Please use a Bank transfer to  Rudjer Boskovic Institute

                                         Bijenicka 54, 10000 Zagreb, Croatia

 

Bank: Zagrebacka banka d.d.

Address: Savska 60, 10000 Zagreb, Croatia

Bank account number: 2100060147

IBAN: HR6623600001101210403

SWIFT: ZABAHR2X

 

 
Please indicate in the swift form: payment from XXX, for the 3rd AFM Biomed Conference, att Dr Vesna Svetlicic
(XXX = same name as the one indicated in the window below)
 
 
 
 
Invoice
 
I wish to receive an invoice
I wish to receive the invoice at the same address as above
Or at the following address :
 
 
Cancellation Fee
 
There is a 100 euros cancellation fee after 15th April 2010.
Cancellation must be received in writing by 15th April 2010 and mailed to Information AFM BioMed
 

 
General Conditions

A registration confirmation letter will be sent to you by email. Registrants should bring this document to Red Island, in order to collect their personalised welcome package.

Payments - All registration fees are quoted in Euro and include 7% VAT. Payment in any other currency will not be accepted.

By Bank Transfer - The bank transfer must clearly state the name of the participants. For international bank transfers, the IBAN code is essential.
 
 
 
Please go now to registration step 2 !

 

Code:   Please let this window blank! 

calage.gif manquant
calage.gif manquante bottom
Leica
calage.gif manquante bottom
calage.gif manquante bottom Sponsors
calage.gif manquante bottom