Participant

Mr Mrs Prof Dr
Last Name*
First Name*
Institution*
Street & Number*
Postal Code*
City*
Country*
Telephone*
Fax*
E-mail*

Congress Registration

Category Participation Fee before 11 July 2009 Fee from 12 July to 16 Aug 2009 Fee after 17 Aug 2009 and on the door
Physicians EUR 195 EUR 220 EUR 250
Nurses/Students EUR 60 EUR 60 EUR 60
Fees include VAT. If you register and pay before 11 July 2009 you will benefit from the discounted early registration fee. The registration fee includes all congress materials, access to all congress facilities, lunches and coffee breaks. For general conditions and cancellation fees please kindly refer to the official programme brochure.
Congress Dinner on Thursday, 10 September 2009 at 7.00 p.m.
“Sektkellerei Kupferberg”, Mainz, with guided tour through the old wine-cellars and dinner in the “Fürst-von-Bismarck-Saal” (bus transfers from congress hotels will be available).
Yes, I will participate. Total number of persons (cost per person EUR 80)
Please kindly note: Pre-registration is required for the Congress Dinner.
No tickets will be available on the door.

Deadline for registration: 1 September 2009

Comments or special requests



Congress Organisation

Gaby Kneissler
Kastanienweg 4
67146 Deidesheim, Germany

Tel.: +49 (0) 6326 9658959
Fax: +49 (0) 6326 962869
E-mail: kongress-med1@t-online.de		 Bank Details:
Bank Account No. 590055001
Commerzbank Bad Dürkheim
(Bank Code 545 400 33)
UBAN: DE04 5454 0033 0590 0550 01
BIC: COBADEFFXXX

Payments should be made via bank transfer.
Payments via credit card will not be accepted.