13th Meeting of the European

							9th European Congress of Trauma and Emergency Surgery Papp Lászlo Sportarena Budapest, Hungary May 24 -27, 2008

REGISTRATION
Mail or Fax to: MONDIAL CONGRESS & EVENTS Operngasse 20B A - 1040 Vienna, Austria Tel.: +43 1 58804 – 0 Fax: +43 1 588 04 185 E-Mail: eurotrauma2008@mondial.at

FORM
ONLINE REGISTRATION: www.eurotrauma2008.org

PARTICIPANT INFORMATION
Title: Last Name: Institution: Address: Postal Code: Telephone: E-Mail: First Name: City: Country: Fax:

* mandatory field – please use capital letters and write legibly! Thank you.

REGISTRATION FEES
Early Fee
Until February 15, 2008

Regular
Until April 25, 2008

From April 25, 2008

Onsite

Individual Member ESTES Institutional Member ESTES Member ESTES Resident Non-Member Non-Member Resident Accompanying Person Day Ticket Member Day Ticket Non-Member Student

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€ 300 € 330 € 140 € 380 € 210 € 90 €160 € 210 € 70

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€ 360 € 390 € 160 € 440 € 230 € 90 € 190 € 240 € 70

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€ 440 € 440 € 190 € 490 € 260 € 100 € 220 € 270 € 100

SOCIAL PROGRAMME
Date Welcome Reception Hungarian Evening Closing Ceremony Gala dinner
*subject to minimum participant number

Persons

Price

Sunday, May 25, 2008 Monday, May 26, 2008 Tuesday, May 27, 2008 Tuesday, May 27, 2008

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included € 39

included € 100

TOURS
Date Duration Persons Price

Grand City Tour

City Tour with cooking lesson

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May 25, 2pm May 26, 9am May 27, 2pm May 26, 9am 8 hours 3 hours

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€ 21

€ 51

Royal Tour Szentendre Danube Bend Tour

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May 27, 2pm May 25, 9am May 26, 2pm May 27, 9am

4 hours 4 hours 8 hours

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€ 31 € 23 € 60

All tours will be accompanied by an English-speaking guide. Tours are subject to a minimum number of 20 participants. The Organisers reserve the right to change the date or time of any tour due to organisational reasons. All cancellations /alterations must be made in writing. Cancellations before April 18th, 2008 will be accepted free of charge. For cancellations after this date, no refunds can be granted. Reimbursement will be made after the conference.

HOTEL BOOKING
Hotel 5* Hotel 4* Hotel 3* Hotel 1st choice hotel: Date of Arrival: ………………….. (DD/MM/YY) = Total of Nights …………. Single Room Double Room Deposit 2 nights 2 nights 2 nights

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€ 166 - 225 € 105 – 151 € 78 - 121

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€ 250 € 120 – 173 € 86 - 121

2nd choice hotel: Date of Departure: ………………….. (DD/MM/YY)

□ Late Arrival (approx. ………….. h)

Special Requests: …………………………………………………………………………………………………..…………………….

Prices are per room per night incl. breakfast, service charges and taxes. The number of nights booked serves as a basis for your hotel invoice. Should the desired hotel category no longer be available, similar accommodation will be offered. Please note that, the hotel booking can only be guaranteed upon receipt of the respective hotel deposit. All changes or cancellations must be made in writing. Due to organisational reasons we kindly ask you to make your room reservation until February 15, 2008. Cancellations of rooms received before February 15, 2008 will be refunded, less an administrative fee of € 35. For cancellations received after February 15, 2008 or in the case of no-show, the deposit will not be refunded. Rates are in EURO (€) and include VAT.

MODE OF PAYMENT ❏ Bank Transfer to Account 9TH European Congress of Trauma and Emergency Surgery IBAN: AT18 1200 0506 7110 4095 BIC: BKAUATWW (Account No. 50671 104 095 with Bank Austria-Creditanstalt, Am Hof 2, A - 1010 Vienna, Austria Bank Code 12000; with reference "(participants name)" Please mention: "Free of charge for Mondial Congress & Events" All bank fees will be charged to the participant. ❏ Please charge the following credit card (Visa, Eurocard/Mastercard and Diners will be accepted) ❏ Eurocard/Mastercard Expiry date: Signature: ❏ Diners Club

❏ VISA Creditcard number: Card holder:

Mondial Congress & Events shall act as mediator only and cannot be held responsible for any loss incurred or any damage inflicted on persons or objects irrespective of whatsoever cause. The liability for transport- and other service companies shall not be affected by the above. Only written agreements shall be valid. The place of jurisdiction shall be Vienna.

__________ Place Date (DD/MM/YY) Signature