ESRA
REGISTRATION FORM
 


FOR ANY INFORMATION:
fax:+302106545496
e-mail: esrel2010@ipta.demokritos.gr

PLEASE USE CAPITAL LETTERS
*THE FIELDS MARKED WITH THE RED ARSTERISK ARE NECESSARY
PARTICIPANT DETAILS


* LAST NAME /
FAMILY NAME:
* FIRST NAME:
*INSTITUTION / COMPANY:
* STREET / P.O. BOX: * CITY:
* POSTAL CODE: * COUNTRY:
* PHONE: * FAX:
* EMAIL:
ACCOMPANYING PERSON
LAST NAME / FAMILY NAME:
FIRST NAME:
REGISTRATION FEES

If your payment is not received before or on June 20,2010 late fee will be automatically charged.
All presenting authors must be registered until June 20th incl. payment of registration fee.
Categories (A), (B),(C) and (D) include technical programme attendance, one copy of the proceedings (CD-ROM only), welcome cocktail, lunches, coffee-breaks and conference dinner.
Category (E) includes welcome cocktail, conference dinner.
Cancellation of Participation:If cancellation is received before August 1st, 2010 the full registration fee will be refunded, minus an administrative fee of EUR 100. Cancellations received after August 1st, 2010 will not be eligible for a refund. All refunds will be processed after the Conference.

ATTENDANCE SCHEDULE








ERSEL 2010
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Focus On Health 2010
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