Partner association Registration | SLICE 2018

Registration
Attendee identification
- *Partner Association
- *Title
- *First name
- *Last name
- *Date of birth YYYY-MM-DD
- *Email
- *Verify email address
- Email cc
- *Specialty
- Other speciality
- Professional address
- *Place of work
- Exhibiting company name
- *Address
- *City
- *Zip code
- *Country
- *Office Phone number
- *Mobile phone
*Compulsory fields
PROOF OF STATUS

Please download an ESNR or EAN Membership proof (preuve d'abonnement à la Lettre du Neurologue), valid for year 2018.
- *Document
*Compulsory fields
Registration fees

Until 3 July After 3 July

€ 550,00 € 650,00
Program

Special rate
Invitation letter

I need an invitation letter for my VISA application
Visa information
- *Full name
- *Date of birth YYYY-MM-DD
- *Place of birth
- *Citizenship
- *Passport Number
- *Passport Expiry Date YYYY-MM-DD
- *Place of issue
Modification and cancellation policy
Cancellations must be notified by email and are subject to the following conditions:
- Cancellation received before June 15, 2018: 100% refund minus 100 € processing fees.
- Cancellation received from June 16 to July 6, 2018: refund minus 50% penalties.
- Cancellation received from July 7 to September 3, 2018: refund minus 75% penalties.
- Cancellation received after September 3, 2018: no refund.
All modifications and cancellations must be notified in writing to Europa Organisation
GENERAL TERMS AND SALES CONDITIONS
I have read and agree to all Terms and Sales Conditions.

Until 3 July			After 3 July
€ 550,00			€ 650,00

Registration