Registration form for Val d'Isère 2012

ABC WIN MEETING 15th to 20th January 2012

 


  Physician Students, nurses or technologists Industrial Participant
Last name
First Name
Institute/Hospital
Address
Post Code
City
Country
Phone
Fax
e-mail
   

I - Registration fees


The fees include registration to the meeting and coffee breaks. All the sessions will take place at the Congress House, located maximum 5 mn walk away from the hotels. All facilities are offered in this centre.

ABC and WIN (500 € before december 15th 2011 - 700 € from december 16th 2011 for Doctor or Surgeon)
ABC and WIN for students, nurses or technologists - 300 €



II - Accommodation

Arrival date
 
Departure date
A minimum stay of 6 nights will give you more availability in hotels.
   
Type of room Single Double Twin
  Half board B & B  
 





Hotel
   Single Price per room Double Price per room Deposit
**
170/185 € 200/220 € 490 €
***
150/200 € 220/300 € 490 €
****
230/280 € 280/400 € 490 €
*****
300/350 € 350/530 € 490 €
  +10 € (Reservation fees)
TOTAL:
500 €

 

Accommodation comments:
Message:

Please note : in most of the hotels, the half board must be taken

As soon as we will receive this registration form, we will send you the confirmation of your reservation with the total balance of your stay including the local tax and the name of your hotel .

Whatever the date of cancellation, the deposit will be kept.
From December 14th : No refund will be possible (The deposit and the balance will be kept).