ENC 2012

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ENS CONFERENCE

ENC 2012

Manchester, United Kingdom (2012-12-09 - 2012-12-12)

European Nuclear Conference

Registration form

Grey input fields are mandatory.

Title

Academic degree

First name

Last name

Organisation

Department

Position

Address 1

Address 2

Postal code

City

Country

E-mail

E-mail (Please confirm)

Telephone

Please include country code

Fax

Please include country code

VAT ID Nr

Only if needed for invoice

Purchase Order Nr

Your Purchase Order nr (if applicable, specific to your company that should be included on the invoice that is compulsory for payments)

Address for invoice if different from above, otherwise leave empty

Name 1

Name 2

Address 1

Address 2

Postal code

City

Country

REGISTRATION

The registration includes access to all sessions, conference materials, coffee breaks, lunches, social events and technical visit.

ENS Members 900 €

ENS Members (Applies to members of ENS National Societies, ENS Corporate Members (employees of companies who are Corporate Members) and ENS International Section Members);

ENS Non Member 1020 €

Professionals from and working in Eastern European countries 780 €

University staff and Research Centers 660 €

Young Generation Network 480 €

ENS Young Generation Member (YGN) (Applies to YGN members of ENS National Societies, i.e. to members younger than 36 years);

One Day Ticket - 10.12.2012 720 €

One Day Ticket - 11.12.2012 720 €

One Day Ticket - 12.12.2012 720 €

INVITATION LETTER

Please fill in the required information for invitation letter for delegates from countries who will need a VISA for the United Kingdom below

I need an Invitation Letter

I need an Invitation Letter that shall be send by express delivery (FedEx, DHL) 90 €

Information for Security Check and Invitation Letter

Only required for participants of the Technical Tours or if you require an Invitation Letter

Nationality:

Place of Birth:

Date of Birth:

Home address:

Home town:

Passport/ID nbr:

Passport/ID issue date:

Passport/ID expiry date:

CONFERENCE DINNER

Tuesday 13 November 2012

I will not attend the Conference Dinner

I will attend the Conference Dinner 75 €

Accompanying guest for the Conference Dinner 75 €

Name of guest

Accompanying second guest for the Conference Dinner 75 €

Name of second guest

I'm vegetarian

Accompanying guest is vegetarian

Accompanying second guest is vegetarian

Payment

Please select your preferred payment method

Online Payment (Ogone) - Only Visa and Eurocard/Mastercard accepted

Payment by bank transfer

By clicking the button 'OK' the total amount of your registration fee will be calculated and all selected options can be validated.

Cancellation policy

Cancellations must be communicated in writing. There will be no refund if cancellations are made after 9 November 2012 (one month prior). For cancellations prior to 10 November 2012, an administrative fee of 100€ will be charged.