Cavtat - Dubrovnik, CROATIA (October 14 – 19, 2001)
ICMAN Conference Secretariat
Rudjer Boskovic Institute
Bijenicka cesta 54, P. O. Box 180
HR-10 002 Zagreb, Croatia
e-mail:
icman@rudjer.irb.hr
telephone: +38514680094
fax: +38514561010
Last name:*
First name:*
Middle initial:
Sex:
- select one -
F
M
Title/Degree:
- select one -
BS
DDS
DSc
DVM
MBChB
MD
MPH
PhD
other
if "other", specify:
Department:
Institution:
Address:*
City:*
Country:*
Telephone:*
Telefax:
E-mail:*
I would like to apply for:
- select one -
Oral presentation
Poster presentation
Participation
Accompanying person
Category:
- select one -
participant, conference & accommodation fee - single room (1100 EURO)
participant, conference & accommodation fee - double room (950 EURO)
Ph.D. student, conference & accommodation fee (450 EURO)
participant, Eastern Europe, conference & accommodation fee (550 EURO)
Ph.D. student, Eastern Europe, conference & accommodation fee (350 EURO)
participant, conference fee (700 EURO)
Ph.D. student, conference fee (350 EURO)
participant, Eastern Europe, conference fee (450 EURO)
Ph.D. student, Eastern Europe, conference fee (250 EURO)
accompanying person to regular participants (550 EURO)
accompanying person to Ph.D. students and all participants from Eastern Europe (300 EURO)
Ph.D. students must submit an official letter from the university attesting to their graduate (M.S. or Ph.D.) student status.
PLEASE NOTE - in all fees VAT has been included.
Price list is available from
here.
PLEASE NOTE - early registration is
August 15, 2001
.
From
August 16, 2001
all prices will be 15% higher!
I will pay by:
- select one -
bank transfer of banker's draft
check
credit card
The instructions for payment are available from
here.
Comment
:
