On line prijava / Online registration form

On line prijava / Online registration form

St. Catherine’s Hospital Symposium
on Advanced Orthopedic Treatment of Osteogenesis Imperfecta

Ime / First Name *
Prezime / Family Name*
E-mail *
Mobile / Cell *
Tel. / Phone
Fax
Ustanova / Institution
Odjel / Department
Ulica i br. / Street, No.
Grad / City
Država / Country
Kotizacija / Registration fee

uključuje: ulaz na predavanja, kavu u pauzi, radni ručak
includes: admission to the lectures, coffee break, working lunch

Uplata / Payment *

The Fassier-Duval Telescopic Intramedullary System

Radionica
Broj sjedala je ograničen na 20. Mjesta će se dodjeljivati po redu uplate dok se ne popune.
Uplata na licu mjesta bit će moguća jedino ako još ostane slobodnih mjesta.

Workshop
The number of seats is limited to only 20. They will be assigned to the first 20 attendees who pay.
It will be possible to pay on site only in case some seats remain available.

Workshop
Hotelski smještaj i prijevoz / Hotel Accomodation and transportation to the venue
Hotel

Autobusni prijevoz Hotel Antunović – Bolnica Sv. Katarina Zabok – Hotel Antunović
Bus shuttle Hotel Antunović – St.Catherine's Hospital Zabok – Hotel Antunović

Shuttle
Detalji za rezervaciju hotelskog smještaja / Hotel reservation details
Ime gosta / Guest name:
Datum dolaska / Arrival date
Datum odlaska / Departure date:
Osoba u sobi / Persons in one room:
Broj soba / Number of rooms

Molimo pročitajte naše uvjete otkaza niže.
Please see below for our Cancellation Policy.

Način plaćanja / Payment method
Način plaćanja / Payment Method *
... CC kartica / Credit card

Nakon primitka vašeg zatjeva poslat ćemo vam račun sa detaljima za plaćanje
Upon receiving your reservation form we will send you invoice with the payment details

Uvjeti otkaza / Cancelation Policy

Otkaz rezerviranog smještaja bez troška otkaza moguć je do 13.10. 2017.
Otkaz uplaćene kotizacije moguć je do 13.10. 2017. Trošak otkazivanja je 76,00 kuna
Svi otkazi moraju bi u pisanoj formi (fax ili e-mail na Conventa grupu).
Svi povrati sredstava bit će realizirani nakon Kongresa.

Cancellation of hotel accommodation without cancellation fee is possible till 13th October 2017.
Cancellatiion of paid registration fee is possible till 13th October 2017. Cancellatiion fee will be 10,00 eur.
All cancellations must be in written form (fax or mail to the PCO).
All refunds will be issued after the Conference.

Tehnički organizator / Technical organisation

Conventa grupa d.o.o, Zagreb,
T: (01) 8887058, M: 098 9805714, 0912013627, F: (01) 8887059, E: mice@conventa.hr, www.conventa.hr

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