SSPD Meeting 2012

SSPD Meeting

40th anniversary meeting, Aarhus, Denmark, 23-25 August 2012

Registration form

First name

Last name

Title

Institution / Company

Department

Address

Postal code

City

Country

Phone

Mobile

E-mail

Accompanying person

Vegetarian

Vegan

Registration fee

Early bird price until
June 21, 2012

Price from
June 22, 2012

Member

DKK 3900

DKK 4400

Non member

DKK 4300

DKK 4800

Postgraduate student

DKK 2750

Student (Undergraduate)

DKK 0

Please contact the Congress secretariat (KongresKompagniet) if you are an undergraduate student and wish to register and pay for social events and/or lunch.

Accompanying person

DKK 1000

Social programme

I will attend Welcome reception, Thursday August 23, 2012 - incl. in the registration fee

No. of persons

I will attend Conference dinner, Friday August 24, 2012 - incl. in the registration fee

No. of persons

Total

DKK

Payment

Transferred to ”SSPD 2012”, 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 “SSPD 2012”. IBAN: DK33 3000 3632 5845 98

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

Electronic invoice (for Danish participants only).

Electronic invoice (For danish participants only)

EAN No

EAN personreference

EAN Kontostreg

Hotel accommodation

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

I have arranged my own accommodation

Radisson BLU Scandinavia Hotel - single room - DKK 1325

Radisson BLU Scandinavia Hotel - double room - DKK 1325

Hotel CABINN - Commodore - single room - DKK 645

Hotel CABINN - Commodore - double room - DKK 845

Hotel CABINN - Economy - single room - DKK 565

Payment directly to the hotel upon departure. All room prices are per night per room and includes VAT, service charges and breakfast.

Arrival

Departure

I wish to share with

Special request

Cancellation and refund
Cancellation must be made in writing. In case of cancellation no later than 1 July 2012, the full amount less a cancellation fee of DKK 500 will be refunded. In case of cancellation after 1 July 2012, no refund will be made.

Annullering og refusion
Annullering skal ske skriftligt. Ved annullering før 1. juli 2012 vil det fulde beløb fratrukket et annulleringsgebyr på DKK 500 blive refunderet. Efter 1. juli 2012 er der ikke mulighed for refusion.

Your registration will be sent to:
KongresKompagniet A/S - Nordhavnsgade 4 - DK-8000 Aarhus C
Phone: +45 86 29 69 60, Fax: +45 86 29 69 80
E-mail: sspd@kongreskompagniet.dk