3rd Croatian Epidemiology Congress

Hotel Ivan, Šibenik
May 7 - 9, 2015

Registration

* required fields

Attendee

First name *

Last name *

TAX ID *

Title

Other:

Organization / Institution *

Address *

Postal code *

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Fax

Phone *

E-Mail *

Kotizacija

Registration fee:

1.500,00kn Early registration fee (until 25.03.2015.) (198 EUR)

1.700,00kn Late registration fee (from 25.03.2014.) (224 EUR)

1.000,00kn Early registration fee for residents (until 25.03.2015.)

1.200,00kn Late registration fee for residents (from 25.03.2014.)

Additional options

500,00 kn Accompanying person fee (65 EUR)

Accompanying person name

If applicable please enter accompanying person name.

Accommodation - sold out

If you need accommodation please select it with the arrival and departure dates. The prices include tourist tax and VAT. The prices are quoted per person on bb basis.

	Single room	Double room
Hotel Ivan, Solaris, Šibenik	632,00 HRK (83 EUR)	392,00 HRK (52 EUR)
Hotel Jakov, Solaris, Šibenik	477,00 HRK (63 EUR)	302,00 HRK (40 EUR)
None	No Accommodation

Arrival date

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Note: Date fromat Day.Month.Year

Departure date

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Total

Payment

Payment type:

Bank transfer Credit Card

Payment: Bank transfer

Info:

ACCOUNT NAME: Conventus Credo d.o.o.
IBAN: HR5324840081103726602
Raiffeisen bank Austria d.d. Zagreb, Petrinjska 59,
10 000 Zagreb, Croatia
SWIFT: RZBHHR2X

NOTIFICATION: participant's name

Payment: Credit Card

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Having troubles with the form? Contact use directly at anja@conventuscredo.hr