Marrakesh Congress Inscription

MARRAKESH, September 5- 9, 2009

Last Name :

First Name :

Address :

Zip Code - City

Country :

Phone :

Email :

	Before March 15th	March 16th - July 1st	After July 1st
EVRS Member	284 Euros + VAT (19,6%) = 340 Euro	368 Euros + VAT (19,6%) = 440 Euro	452 Euros + VAT (19,6%) = 540 Euro
EVRS Fellow-in-Training Member	200 Euros + VAT (19,6%) = 240 Euro	268 Euros + VAT (19,6%) = 320 Euro	334 Euros + VAT (19,6%) = 400 Euro

Non EVRS Member	426 Euros + VAT (19,6%) = 510 Euro	510 Euros + VAT (19,6%) = 610 Euro	594 Euros + VAT (19,6%) = 710 Euro
Non EVRS Fellow-in-Training Member	301 Euros + VAT (19,6%) = 360 Euro	372 Euros + VAT (19,6%) = 445 Euro	443 Euros + VAT (19,6%) = 530 Euro

Those prices include: Scientific Sessions, Welcome Reception, Refreshment Breaks, 3 Lunches and Gala Diner
	Reset
Spouse/Guest additional prices :
Including Welcome Reception & Gala Diner	192 Euros + VAT (19,6%) = 230 Euro

		TOTAL	€

Payment Options :

- Credit card: please click on the Online Payment box

- Cheque for the order of EVRSC, 8 Rue Camille Flammarion, 44000 Nantes, FRANCE, together with this printed congress registration form.
- Bank transfer. Click here for bank details but please print and fax back this form to + 33 2 51 83 32 61 and write "bank transfer" on it so that we can register you prior to receive your bank transfer.

Cancellation / Refund Policy:

All cancellations and request for refunds must be in writing and received by EVRS no later than July 15th, 2009. A handling fee of 25% of the paid amount will be charged for cancellations in all registration categories. No refunds will be given after July 15th, 2009.