Multiple Stressors - Novel Methods for Integrated Risk Assessment

28th - 30th September 2009 in Aarhus, Denmark

First name

Surname

Title

Institution/ Company

Department

Address

Postal Code

City

Country

Phone No.

Fax No.

Mobile phone

E-mail

Vegetarian

Vegan

Registration fee paid after 28 August, 2009

Registration fees

DKK 1800 (2)

( Registration fee includes all coffeebreaks and lunchs, but not the conference dinner.)

Social Programme

Conference Dinner 28 September 2009 - DKK 400 per person

Total

DKK

Payment

By cheque in DKK, made payable to : “Multiple Stressors”, c/o KongresKompagniet, Nordhavnsgade 1, DK-8000 Århus C, Denmark drawn on: Danske Bank, 2 –12 Holmens Kanal, DK-1092 Copenhagen K., Denmark

Transferred to ”Multiple Stressors”, c/o KongresKompagniet, S.W.I.F.T. DABADKKK account No. 3643 3632584598, Danske Bank, Holmens Kanal 2-12, DK-1092 Copenhagen K, Denmark. PLEASE state name and “Multiple Stressors”. IBAN: DK33 3000 3632 5845 98

By credit card (please have your credit card ready for online payment)

Electronic invoice (only for danish participants - please state your EAN no below)

EAN no (13 numbers)

Comments

The registration form is sent to:
KongresKompagniet – Nordhavnsgade 1 – DK-8000 Århus C
Phone: +45 8629 6960 – Fax: +45 8629 6980
Mail: multiple_stressors@kongreskompagniet.dk