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First name: ·

Last name: ·

E-mail: ·

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Institute/Company: ·

Department: ·

Address: ·

Postal code: ·

City: ·

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International phone: ·

International fax:

Registration fee

• 150,-Euro / person - deadline: 30 April 2012

The registration fee includes:
Proceeding of abstracts and papers, organizing expenses, coffee breaks, conference lunch and dinner during the two days, social event.

For the members of the Hungarian Cancer Society, Hungarian Society of Medical Oncology and Hungarian Veterinary Chamber the registration fee is 50 Euro.
The participation is free of charge for under- and postgraduate students.
The sponsor of the Congress will cover the registration fee of 50 Hungarian participants, who are the members of the above societies and chamber.

The billing part should not to be filled out by the members of the above societies, chamber and by the students as well.

In case of membership of Hungarian Cancer Society, Hungarian Society of Medical Oncology and Hungarian Veterinary Chamber you are kindly asked to tick here:
If you are student, you are kindly asked to tick here:

Payment of registration fee

• Payment deadline for registration fee: 10 May 2012.
  
  
• Payment will be required by wire transfer.
  
  
• Remitted by direct transfer into the organisers account number:
• Account holder: Connections2000 Ltd.
• IBAN HU84 1070 0419 2680 3504 5000 0005
• SWIFT CODE CIB HHUHB
• CIB Bank H-1013 Budapest, Krisztina tér 10.
  
  
• Please, indicate clearly the name of the participant, the conference and profession, the address of the participant in all your remittances:
• Reference: ICDD2012/name of the participant

Please, indicate the address for invoicing:

· Required fields

Institute/Company: ·

Department: ·

Address: ·

Postal code: ·

City: ·

Country: ·

International phone: ·

International fax: ·

E-mail: ·

Confirm e-mail: ·

Contact person: ·

Presentation

Presentation:YesNo·

Title:

Abstracts can be submitted on-line via conference website.

Hotel reservation

Participants will be accommodated at the Hotel Novotel Budapest Congress ****

Rooms will be allocated on a first-come, first served basis. All prices are in Euro, per room, per night, include breakfast and VAT.

Single room: Double room: None:·

Arrival date: Departure date:
Number of nights:
Number of persons:

I will share my room with:

Payment

• Payment deadline for hotel reservation: 10 May 2012.
  
  
• Paid by banktransfer
• Remitted by direct transfer into the organisers account number:
• Account holder: Connections2000 Ltd.
• IBAN HU84 1070 0419 2680 3504 5000 0005
• SWIFT CODE CIB HHUHB
• CIB Bank H-1013 Budapest, Krisztina tér 10.
  
  
• Please indicate clearly the name of the participant, the conference and profession address of the participant in all your remittances:
• Reference: ICDD2012/name of the client / name of the hotel/ arr.-dep. date

Pleace indicate the invoice address about the paid participant fee:

Institute/Company:

Address:

Postal code:

City:

Country:

Contact details regarding the payment by bank transfer:

Contact name:

E-mail:

Yes, I want to submit my registration.