Registration EUNOS 2009

EUNOS – 9.th Meeting of the European Neuro-Opthalmology Society, June 17 – 20 2009, Lübeck, Germany, Media Docks

Name

First name

Academic Title

Please complete one form for each person attending.

Street

Area code

City

Phone

Fax

E-Mail

Date

Early payment (before 31 March 2009)

Delegate 300 Euro

Resident* 200 Euro

Accompanying person 100 Euro

Late payment (after 31 March 2009)

Delegate 400 Euro

Resident* 300 Euro

Accompanying person 200 Euro

* Residents are kindly asked to bring a letter from the department head attesting their status as a resident.

Day ticket

150 Euro (Thu., 18.06.09)

150 Euro (Fri., 19.06.09)

100 Euro (Sat., 20.06.09)

Courses (wed., 17.06.09)

30 Euro Course 1

30 Euro Course 2

30 Euro Course 3

30 Euro Workshop

Conference Dinner (friday, 19.06.09)

30 Euro

Courses are only available in combination with a full congress registration.

All payments must be made by bank transfer before 28th May 2009 on our special account Deutsche Bank Lübeck: Keyword: EUNOS 2009, your complete name, account number: 901169311, bank code: 23070710, IBAN: DE12 2307 0710 0901 1693 11, BIC (Swift Code): DEUTDEHH222.

The confirmation of your registration will be sent to your e-mail address after receipt of your payment.