NIH / NIAID / NORDIC RESEARCH NETWORK MEETING

NORDIC-NIAID SYMPOSIUM ON ANTIMICROBIAL RESISTANCE

November 1st - 3rd 2010 at Marriot Hotel, Copenhagen, Denmark

Registration form:

Surname

First name

Title (Dr., Prof., Mr., Mrs.)

Organisation

Address

Postal No.

City

Country

E-mail

Phone No

Fax

Vegan

Vegetarian

Social programme:

Welcome reception at the City Hall, November 1st

Yes please – I will participate

No thank you – I cannot participate

Conference Dinner, November 2nd

Yes please – I will participate

No thank you – I cannot participate

Accommodation:

To obtain the stated room prices you must book through the conference secretariat KongresKompagniet by filling out and submit this form.

I have arranged my own accommodation

Marriot Copenhagen – single room – dkk 1.399,-/ EUR 120,-/ US 235

Marriot Copenhagen – single room Delux Waterfront – dkk 1.599,-/ EUR 215,-/ US 265,-

Marriot Copenhagen – double room – dkk 1499,-/ EUR 205,-/ US 250

Marriot Copenhagen – double room Delux Waterfront – dkk 1699,-/ EUR 230,- US 280,-

Hotel CABINN City – standard, single room – dkk 605,-/ EUR 85,-/ US 100,-

Hotel CABINN City – commodore, single room – dkk 705,- EUR 95,- /US 120,-

Payment directly to the hotel upon departure. All room prices include VAT, service charges and breakfast.

Date of arrival

Date of departure

I would like to share a double room with:
(Please state name)

Comments

Your registration will be sent to:
KongresKompagniet A/S, Nordhavnsgade 1, DK-8000 Aarhus C, Denmark
Phone: + 45 86 29 69 60, Fax: + 45 86 29 69 80
E-mail: resistance@kongreskompagniet.dk