SIC 2010 - Shoulder instructional course

Welcome

Organizing Committee

Programme

General Information

Accommodation

Registration Info.

On-line Registration Form

PDF Registration Form

Credit Card Authorization Form

SIC 2008
LIVE SURGERIES DVD

20,00 € + postal expenses

Nina Vrdoljak
Conventus Credo Ltd.
PCO - Professional Congress Organizer

Phone: 00385 1 485 46 96
Fax: 00385 1 485 45 80
Mobile: 00385 98 406 728
nina@conventuscredo.hr

On-line Registration Form

Please fill in the fields as required. The fields marked with * are mandatory.
Participant: * Last name: * Name: * Title: Invoice address: Institution: Department: * Address: * Zip code, City: * Country: Fax: * Phone: * E-mail: A) Registration fees:

Early Registration, until April 1, 2010250,00 €220,00 € *

Late Registration, until April 15, 2010300,00 € 260,00 € *

One Day Registration135,00 € 110,00 € *

* residents (please note: to qualify for this registration fee, proof of status must be submitted at time of registration – i.e. a signed letter from supervisor or Department Head. This must be forwarded to the Course Organizer at the time of registration via fax at 00 385 1 4854 580 or email at nina@conventuscredo.hr)
Total Payment A: € B) Accommodation: Arrival Date: Departure Date: Number of nights:

Single room105,00 €

Double room120,00 €

Total Payment B: € C) Shuttle to hotel (25,00 €):

YES

NO

Flight details:
Total Payment A + B + C: €

Payments:

Payments – without any charges to the beneficiary – can be made: By bank transfer:

Foreign participants:
ACCOUNT NAME: Conventus Credo d.o.o.
IBAN: HR5324840081103726602
Raiffeisen bank Austria d.d. Zagreb, Petrinjska 59,
10000 Zagreb, Croatia
SWIFT: RZBHHR2X
NOTIFICATION: SIC 2010, participant’s name Participants from Croatia:
ACCOUNT NAME: Conventus Credo d.o.o.
ACCOUNT NO: 2484008-1103726602
Raiffeisen bank Austria d.d. Zagreb, Petrinjska 59,
10000 Zagreb, Croatia
NOTIFICATION: SIC 2010, participant’s name

By credit card (Visa, Mastercard, American Express, Diners): For security reasons we can not accept credit card payment and information through the Internet. Please fill out the creditcard form and send it to fax no: +385 1 4854 580

I will pay by bank transfer

I will pay by credit card



Welcome Organizing Committee Programme General Information Accommodation Registration Info. On-line Registration Form PDF Registration Form Credit Card Authorization Form Terms of Payment Access Contact Gallery SIC 2008 Sponsors SIC 2008 LIVE SURGERIES DVD 20,00 € + postal expenses Nina Vrdoljak Conventus Credo Ltd. PCO - Professional Congress Organizer Phone: 00385 1 485 46 96 Fax: 00385 1 485 45 80 Mobile: 00385 98 406 728 nina@conventuscredo.hr	On-line Registration Form Please fill in the fields as required. The fields marked with * are mandatory. Participant: * Last name: * Name: * Title: Invoice address: Institution: Department: * Address: * Zip code, City: * Country: Fax: * Phone: * E-mail: A) Registration fees: Early Registration, until April 1, 2010250,00 €220,00 € * Late Registration, until April 15, 2010300,00 € 260,00 € * One Day Registration135,00 € 110,00 € * * residents (please note: to qualify for this registration fee, proof of status must be submitted at time of registration – i.e. a signed letter from supervisor or Department Head. This must be forwarded to the Course Organizer at the time of registration via fax at 00 385 1 4854 580 or email at nina@conventuscredo.hr) Total Payment A: € B) Accommodation: Arrival Date: Departure Date: Number of nights: Single room105,00 € Double room120,00 € Total Payment B: € C) Shuttle to hotel (25,00 €): YES NO Flight details: Total Payment A + B + C: € Payments: Payments – without any charges to the beneficiary – can be made: By bank transfer: Foreign participants: ACCOUNT NAME: Conventus Credo d.o.o. IBAN: HR5324840081103726602 Raiffeisen bank Austria d.d. Zagreb, Petrinjska 59, 10000 Zagreb, Croatia SWIFT: RZBHHR2X NOTIFICATION: SIC 2010, participant’s name Participants from Croatia: ACCOUNT NAME: Conventus Credo d.o.o. ACCOUNT NO: 2484008-1103726602 Raiffeisen bank Austria d.d. Zagreb, Petrinjska 59, 10000 Zagreb, Croatia NOTIFICATION: SIC 2010, participant’s name By credit card (Visa, Mastercard, American Express, Diners): For security reasons we can not accept credit card payment and information through the Internet. Please fill out the creditcard form and send it to fax no: +385 1 4854 580 I will pay by bank transfer I will pay by credit card