logo.jpg (5813 bytes)

titlle.jpg (25111 bytes)

 

Homepage

Welcome Note

Committees

List of Invited Speakers 

Main Topics

List of Sponsors

Scientific Program

General Information

Accommodation

Accompanying Persons Program

Registration Form

Accommodation Form

Submission of Abstracts

 

REGISTRATION FORM

Please TYPE or PRINT in BLOCK LETTERS and AIRMAIL or FAX to:
The Secretariat
4th International Conference on New Trends in Clinical and Experimental Immunosuppression
KUONI CONGRESS
Rue de Berne 7, CH-1201 Geneva, Switzerland
Tel: +41 22 908 1855
Fax: +41 22 908 1835;
E-Mail: immuno@KUONI.CH

Identification
Please complete this section accurately; the information you provide will allow us to correspond with you efficiently, and will also be used on your delegate badge at the Congress.
Field marked in red are required.

Participant
Surname
First Name
Title
Mailing Address
No.
Street
Suite/Apt.
City
State/Province
Postal Code
Country
Telephone: (office hours)
Country code/city code/number
Fax:
Country code/city code/number
E-Mail:
Accompanying Persons
List only those individuals registering for the Accompanying Persons' Program:
Surname
First Name
Title
Surname
First Name
Title
Surname
First Name
Title
Registration Fees
Please mark the appropriate box(s) 
before November 30,1999 after November 30,1999
Participant US$ 500.- US$ 560.-
Accompanying Person X US$ 150.- US$ 180.-
Farewell Dinner (Optional) US$ 75.- per person x
Payment
Please indicate amount enclosed and ensure that your fully completed registration form is sent together with your payment:
Total Fees: US$
Bank cheques or Eurocheques are acceptable, however personal cheques will not be accepted.
Method of Payment
Option 1:
Credit Card -Please note credit cards will be charged in Swiss Francs with the equivalent US$ rate:
Visa  MasterCard  Eurocard  Diners  American Express
Number
Expiration Date (month/year)
Name as shown on card:
Surname
First Name
Signature (printed form only) __________________________
Option 2 - Payment by bank transfer is being made to:
Secretariat IMMUNO'2000
Credit Suisse Geneva, Bank Account # 4251-380510-72
Option 3 - Payment by cheque, made payable to:
Immuno'2000
c/o Kuoni Congress
Rue de Berne 7
CH-1201 Geneva, Switzerland
Enclosed cheque number:______________________ Bank:______________________
Please include fully completed registration form.
Cancellation Policy
Refund of Registration Fees will be made as follows:
Post-marked prior to August 10, 2000 - refund less 25%.
After this date, no refund can be made.
 

designed by