Sixth International Workshop on Computational Systems Biology, WCSB 2009

June 10-12, 2009, Aarhus, Denmark

Surname

First name

Title

Institution/Company

Department

Postal Address

Postal code

City

Country

E-mail

Country code + Phone

Country code + Fax

Participation

Paid after April 30th – 1150 DKK (Euro 150)

Student, paid after April 30th – 575 DKK (Euro 75)

Total: DKK

Payment

Transferred to: ”WCSB”, c/o KongresKompagniet, Account No. 3643 3632584598, Danske Bank, Holmens Kanal 2-12, DK-1092 København K, Danmark. IBAN: DK33 3000 3632 5845 98, S.W.I.F.T.: DABA DKKK. Please state ”WCSB” on all your payments.

Online payment (please have your credit card ready for online payment).

Accommodation

I have arranged my own accommodation

Atlantic – single – 1095 DKK

Atlantic – double – 1195 DKK

Cab Inn – penthouse – single – 735 DKK

Cab Inn – penthouse – double – 925 DKK

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

Payment directly to the hotel upon departure. All room prices include V.A.T., service charges and breakfast.
NB: should the preferred hotel be fully booked, we reserve the right to book you a room in another hotel.

Please note if you have any special wishes for your accommodation (e.g. non-smoking).

Date of arrival

Date of departure

Dietary Requirements
Please note if you have any special requirements with regards to your diet, please specify (e.g. nut or wheat allergy/ vegetarian/ vegan/ diabetic)

Click on submit to send the registration form to:
KongresKompagniet – Nordhavnsgade 1 – DK 8000 Århus
Phone: +45 8629 6960 Fax: +45 8629 6980
E-mail: wcsb@kongreskompagniet.dk