Participant Registration form

Yes, I/we want to participate in this congress.
Buy 2. - Get 3! Yes, I/we will register three persons of one company and we will receive a free ticket for the third person
Please send me more information about opportunities for cooperation.
Unfortunately, I cannot take part in the above mentioned event, but I would like to purchase a copy of the documents for 295 €, VAT and delivery not included (shipment is not intended for purposes of examination and obligates the recipient to accept the documents.)
1st: Last name First name
2nd: Last name First name
3rd: Last name First name
Position:
Department:
Company:
Street:
Postcode/City:
E-Mail:
Phone:
Fax:


Congress Fee:
(VAT not included)
The fee for participation in the two-day congress includes congress abstracts, lunch, dinner invitation, refreshments and small Snacks during the breaks.
Standard rate for the two-day congress:
Registration before February 22, 2011: € 1695,-
Registration before March 10, 2011: € 1795,-
Registration after March 10, 2011: € 1895,-

Special rate (two-day congress) for hospital employees and registered doctors:
Registration before February 22, 2011: € 595,-
Registration before March 10, 2011: € 695,-
Registration after March 10, 2011: € 795,-

Participants from Eastern Europe and developing countries (named in the WHO-List) will be enabled to participate through substantially reduced prices.

Conditions of participation:
Please simply complete the registration form and fax or send it to MCC as soon as possible. You can also register directly by E-Mail at mcc@mcc-seminare.de. Once your registration has been received by MCC in writing, we will send you a confirmation and invoice immediately – given that space is still available. Otherwise you will be informed promptly. Payment is accepted by bank transfer or by check. Buy 2 - G et 3! Should at least three individuals from one company take part in the congress, we provide a free ticket for the third person. Please note: You may only participate in the congress if the congress fee is paid in advance or at the congress. Cancelations must be made in written form. If you do not attend the congress or cancel your participation after August 22, 2011 the full fee will be due and cannot be refunded. If you cancel your participation up to and including August 22, 2011, we will charge an administrative fee of € 130,- (VAT not included). You may of course send a substitute. Please inform us about your substitute’s name at least three days prior to the congress. Our general terms and conditions apply and are available upon request.

Date and venue:
September 22nd-23rd, 2011 Berlin, Germany
Ellington Hotel Berlin
Nürnberger Str. 50-55 · 10789 Berlin
Telefon: +49 (0)30 683 150 · Telefax: +49 (0)30 683 155 555
Hotel Accommodation: A limited number of rooms at a special rate is available. Please book your accommodation promptly. Ask for special rates and refer to the reservation code “MCC”. For additional information about the hotel, rooms or hotel services, please contact the hotel directly. Accommodation rate: € 138.- per night/ single room.

MCC reserves the right to modify the programm if necessary. Any liability for misprints excluded.

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