AÇBİD-BAOMS JOINT CONGRESS in conjuction with 4th Conference of BAMFS (Balkan Association of Maxillofacial Surgeons) 5-8 November 2014 - Harbiye�Military Museum�& Cultural�Center - İstanbul / Turkey REGISTRATION AND ACCOMMODATION Name :......................................................................... Surname : .................................................................................. Title : ..................................................... Instution/Address :.......................................................................................................................................................................................................................... Mobile : ................................................................................................................ Fax : ................................................................................................................. E-Mail :............................................................................................................................................................................................................................................. Registration Fee Categories Specialist, Surgeon Assistant, Student Early Registration Until September 01, 2014 275 Euro 150 Euro Late Registration Until October 01, 2014 300 Euro 175 Euro After October 01, 2014 On-site Registration 325 Euro 200 Euro Company Representative 100 Euro 100 Euro 100 Euro Registration fee includes; access to the scientific sessions, Pre-Conference Course and exhibition area, the congress documents (Program Book, Certificate of Attendance, Congress Bag and Badge, Congress book. Official 18% VAT is not included. Please check the box if you will attend the Pre-Conference Course. Cancellation & Refund Policy - 70% of payment will be refunded before August 5, 2014 - 30% of payment will be refunded before September 10, 2014 - No refund will be made for the cancellation made on or after September 10, 2014 - All cancellation requests should be done in writing Accommodation Rates Hotel Name Room Type Early Registration Until October 01, 2014 On-site Registration After October 01, 2014 Metropark Single Room Double Room 125 EUR 160 EUR 175 EUR 210 EUR Luce Di Pera Single Room Double Room 120 EUR 130 EUR 170 EUR 180 EUR Check in date : .................................... Check out date : .................................... Total night : .................................... Total amount : .................................... All rates are included open buffet breakfast, official 8% VAT will be added. (all rates are for one night) Official 8% VAT is not included. Pre-Conference Course 5th November 2014 / 09:00-17:00: Virtual Treatment Planning for Orthognathic Surgery Tips for Successful Surgical-Orthodontic Outcomes-Planning – Bryan Bell Congress participant (Registered participation for the Congress) Non Congress-Participant (Pre-Congress Course Only) Free of charge 75 EUR 40 person max. Official 18% VAT is not included. Lunch & Learn Sessions 6th November 2014 / 12.15-13.15 : Non-Surgical Facial Rejuvenation – Rajiv Anand and Sanjay Sharma 6th November 2014 / 12.15-13.15: TMJ Prosthesis – Andrew Sidebottom 7th November 2014 / 12.15-13.15: Harvesting an ALT Flap – Kishore Shekar and Mark Singh 7th November 2014 / 12.15-13.15: Rhinoplasty Procedures – Tim Mellor 8th November 2014 / 12.15-13.15: Harvesting a Fibula & DCIA Flap – Ceri Hughes 8th November 2014 / 12.15-13.15: Genioplasty, Sliding and Box – Tian Ee Seah 35 EUR 35 EUR 35 EUR 35 EUR 35 EUR 35 EUR 15 person max. Only Congres Participants can register for Lunch & Learn Sessions. Official 18% VAT is not included. PAYMENT INFO Please check the appropriate box Please don’t forget to add a copy of the bank payment draft Bank Transfer Credit Card Card Number: _______/_______/_______/_______ Visa Card Security Code (CVC): _________ Master Card Valid Thu: ____/_____ Signature:................................. Grand Total:.................................EURO The fees should be placed to the mentioned account number, bank transfer receipts and registration forms should be sent to Interium Organisation. Your registration will only be confirmed after completing this �process. Please use below details for your bank transfers: Account name : Interium Turizm Mum. Tic. Ltd. Sti. Bank name : Yapı kredi bankası Brunch name : Gayrettepe Ticari Şubesi Account no : 62455680 IBAN : TR54 0006 7010 0000 0062 4556 80 (EURO) Sertan Bülbül (Sales Office) bulbul@interium.com.tr
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