ETRAP 2013

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ETRAP 2013

Vienna, Austria (2013-03-13 - 2013-03-15)

5th International Conference on Education and Training in Radiological Protection

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

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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.

ENS Members 630 EUR

ENS Non-Members 700 EUR

University staff and Research Centers 525 EUR

Professionals from and working in Eastern European countries 525 EUR

INVITATION LETTER

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

I need an Invitation Letter

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

INFORMATION FOR INVITATION LETTER

Only required 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

Thursday 14 March 2013 at a "Heuriger"

I will not attend the Conference Dinner

I will attend the Conference Dinner

Accompanying guest for the Conference Dinner 80 EUR

Name of guest

Accompanying second guest for the Conference Dinner 80 EUR

Name of second guest

I'm vegetarian

Accompanying guest is vegetarian

Second accompanying 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 13 February 2013 (one month prior). For cancellations prior to 14 March 2013, an administrative fee of 100€ will be charged.