Registration

Email *

Password *

Retype Password *

Gender *

male

female

Last Name *

First Name *

Application Category (select) *

Affiliation

Work Address *

Work Address 2

Zip Code / City *

Country *

Phone *

If you like to attend the conference with an accompanying person an additional charge of CHF 950 will be added to your invoice. The fee includes accommodation in a double room for you and your partner and all meals for boths during the conference.

Please, note that if the accompanying person intends to attend the scientific lectures, an additional registration fee will be charged.

Accompanying person:

I will attend the conference without an accompanying person: single room

I plan to attend the conference with an accompanying person: double room

Name of accompanying person:

The accompanying person will participate at the scientific conference as well.

Please enter dietary information, if you or your accompaning person are not eating regular menus and let us know about any special requests:

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Price

CHF

Payment Method *

Paypal
Invoice

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

I accept Terms and Conditions

Bürgenstock Conference 2018 Subscription

Total fees (hotel + conference)