Registration

Registration & Fees
The programme is open to PhD students, research professionals, medical specialists (in training) and other specialists in the field of atherosclerosis and vascular biology.

Registration will be accepted on order of entry.

Registration through this website is possible untill March 24, 2010.

Registration fees are: 

- March 25 - 26: € 200,- (including dinner and stay in the hotel)
- March 25 - 26: € 175,- (excluding stay in the hotel, including dinner)
- March 25 - 26: € 150,- (excluding stay in the hotel and dinner)
- Only March 25: € 125,- (including dinner)
- Only March 25: € 75,- (exlucing dinner)
- Only March 26: € 75,-

On receipt of your registration you will receive a final confirmation, an authorization form, the scientific programme and itinerary.

Hereby I register myself for the 13th DAS Cadiovascular Biology Meeting.
Title(s) and affiliation(s) *	Drs. Dr. Prof.
First Name *
Last Name *	Mr. Mrs.
Prefix
Initials
Profession *
BIG-registration number
Office Practice or Institution Name *
Office or Institution Address *
Postal Code/City
Country
Business Phone
Fax
Home Address (if preferred)
Postal Code/City
Country
Home Phone
E-mail *
Travel By	Public Transport Own Car
Dietary requirements:
	I would like to submit an abstract
Yes I would like to attend the meeting ono March 25 - 26, 2010, in Ede March 25 - 26, including dinner and stay in the hotel € 200 March 25 - 26, excluding stay in the hotel, including dinner € 175 March 25 - 26, excluding stay in the hotel and dinner € 150 Only March 25, including dinner € 125 Only March 25 € 75 Only March 26 € 75
Payment details Please provide us with correct payment information. For Dutch delegates it is possible to pay via Automatisch Incasso. It is also possible to pay with your Mastercard or Visacard. Pay with Mastercard or Visacard (you will be contacted for your credit card details) I herewith authorize MEDCON Europe once only for 'automatische incasso' regarding my registration for the 13th DAS symposium. Account holder name / Account number /