Seville Congress Inscription

SEVILLE, September 25 - 28, 2010

Last Name :

First Name :

Address :

Zip Code - City

Country :

Phone :

Email :

	Before March 15th	March 16th - July 15th	After July 15th
EVRS Member	340 Euro	440 Euro	540 Euro
EVRS Fellow-in-Training Member	240 Euro	320 Euro	400 Euro

Non EVRS Member	510 Euro	610 Euro	710 Euro
Non EVRS Fellow-in-Training Member	360 Euro	445 Euro	530 Euro

Drylab
Sharing a simulator	150 Euro	190 Euro	220 Euro
Solo	300 Euro	380 Euro	440 Euro

Courses & Retinaws -- 35 EUR to be paid onsite

Those prices include: Scientific Sessions, Welcome Reception, Refreshment Breaks, 3 Lunches, Sunday Evening & Gala Diner
	Reset
Spouse/Guest additional prices :
Including Welcome Reception, Sunday Evening & Gala Diner		250 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, 2010. 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, 2010.