SNS Congress 2010

62nd Annual Congress Of The Scandinavian Neurosurgical Society

May 27-30, 2010 - Aarhus, Denmark

Registration Form

First name

Surname

Title

Institution/ Company/ Hospital

Department

Address

Postal code

City

County

Phone No

Fax No

Mobile phone

E-mail

Registration fee

Paid after
April 1, 2010

Nurse

DKK 3750

Students - Medical/ Nurse

DKK 2750

Consultant

DKK 5050

Resident/ Trainee

DKK 3750

Exhibitor

DKK 5050

Friday only - trauma

DKK 1500

Saturday only - organdonation

DKK 1500

Social programme

Thursday May 27

Welcome reception

Yes please - I wish to participate

No thank you - I cannot participate

Friday May 28

Excursion to The Old Town - price per person DKK 395

Saturday May 29

Gala Dinner - price per person DKK 795

Sunday 30 May

Lunch

As Sunday is the last day we ask you kindly to indicate your wish for lunch:

Yes please, I will stay for lunch

No thank you, I will leave before lunch

Total

DKK

Payment

Transferred to ”SNS2010”, 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 “SNS2010”. IBAN: DK33 3000 3632 5845 98

Creditcard (please have your creditcard ready for online payment)

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

EAN no (13 numbers)

Person reference

Kontostreg

Hotel Accommodation

To obtain the stated room prices reservation and booking MUST be done through KongresKompagniet by filling in and submitting this form.

I have arranged my own accommodation

Radisson BLU - single room - DKK 1430

Radisson BLU - double room - DKK 1430

Scandic Hotel Plaza - single room - DKK 995

Scandic Hotel Plaza - double room - DKK 1195

Hotel Cab Inn - single room - commodore - DKK 635

Hotel Cab Inn - double room - commodore - DKK 815

Hotel Cab Inn - single room - economy - DKK 545

Payment directly to the hotel upon departure. All room prices are inclusive breakfast, VAT.

Alternative hotel

I wish to share a double room with: (please state name)

Date of arrival

Date of departure

Comments

Please state if you have any requests regarding meals, accommodation etc.

Your registration will be send to:
KongresKompagniet A/S, Nordhavnsgade 1, DK-8000 Aarhus C
Phone: +45 86 29 69 60, Fax: +45 86 29 69 80
E-mail: sns2010@kongreskompagniet.dk