2nd European Equine Health and Nutrition Congress Student Registration

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					                    2nd European Equine Health and Nutrition Congress
                                Student Registration form

Please return this form to,
Secretary 2nd European Equine Health and Nutrition Congress
P/A Cavalor, Booiebos 5, 9031 Drongen, Belgium
or Fax: + 32 9 282 00 27

    Surname

    First name

    Title

    Company/Institute/
    Education programme
    Address
                            ………………………………………………………………………………………….

                            ………………………………………………………………………………………….

    Country

    Telephone

    Fax
    E-mail


I would like to participate to the activities I have marked below:
  Activity                                                        Euro
  Workshops (separate programm)
  •    Dental Correction
  •    Practical Ration Formulation and Evaluation            Student Fee
  •    Osteopathy & gastro intestinal disturbances                                ………………………..
  Congress1, including                                          125 Euro
  •    Invited speaker sessions, Open Session, Tour
       around the Equine Research Centre and happy
       hour.
  Dinner2 on Friday evening                                        25             ………………………..

  Total:                                                                          ………………………..
1
  Registration fee also includes lunch, coffee breaks and proceedings. Reimbursement due to cancellations will be
90 % before February 1st, 50 % before March 14th.
2
  Special dietary requests (diabetes, vegetarian, allergy):…………………………………………………………

Besides the registration form, a copy of a student-ID card is required and should be enclosed
with the registration form !!!!!!

Transport
I will travel to the congress by:
   By plane and public transport
   By Car
   By public transport only

Payment
Payment can only be done by transfer to account: KRED BE BB en IBAN code : 51-7330-1551-3562. Adress:
KBC, Bellevue 3, 9050 Gent, Belgium. Or by sending money to Secretary 2nd European Equine Health and
Nutrition Congress P/A Cavalor, Booiebos 5, 9031 Drongen, Belgium. Payments should be received before
March 7th and should include participants’ name followed by “Equine Congress” as a reference. Cheques and
creditcards are not accepted by the organisation. Registration order will be in order of payment (until the
maximum amount of registration available for students is reached). After receiving payment a written
confirmation will be send to the participant. Note: the congress has limited seats available for students!

Signature and date.