2nd BIOGENESI CONFERENCE

IN VITRO MATURATION OF HUMAN OOCYTES:
BIOLOGICAL FOUNDATIONS FOR A BREAKTHROUGH


Milan, Italy 2 - 4 December 2010
Congress Venue STARHOTELS ROSA GRAND - Piazza Fontana, 3 - 20122 Milano

Registration Form


Participant:


* *

*

(italians only)

(italians only)

*

*

*

* (italians only)

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(*) Required Fields

Accompanying Person:



Congress Fees:



Before 31 October After 31 October
Participant

Euro 400,00

Euro 450,00



The Registration Fee includes:

  • Attendace to scientific sessions
  • Congress kit
  • Congress Dinner
  • Luncheons
  • Coffee breaks
  • VAT 20%

CANCELLATION OF REGISTRATION AND REFUND RULES
Refund of registration fees, less a € 40,00 non-refundable processing fee, will be made if written notice of cancellation is received before November 12, 2010. Following that date no refunds of registration fees will be possible. All refunds will be made after the Congress.

Hotel Reservation:


Details



For Hotel Reservation please return the completed form with full prepayment of the requested nights.
Hotel reservation forms without prepayment cannot be processed.

Cancellation must be received in writing and will be suject to the following deductions from the payment:
Before 20 November: full reimbursement.
After 20 November: no reimbursement will be made.

Payment:



  - Beneficiary: Dolphin Organization Account nr.: 977972
  - Bank: Banca Popolare dell'Emilia Romagna - ag. 20
  - ABI: 05387 CAB: 02412
  - IBAN Code: IT60 V053 8702 4120 0000 0977 972
  - SWIFT/ BIC Code: BPM0IT22XXX

Reference: "2nd BIOGENESI CONFERENCE".

Please send a receipt for payment made to mail@dolphinorganization or by Fax to +390513764106.
Bank Transfer must be accompanied by Registration Form.
Please notice that your registration will not be processed until the full registration fee payment is received.




PERSONAL DATA TREATMENT

In compliance with the article 13 of the Italian Privacy Code (Legislative Decree No. 196/2003) we inform you that your personal data will be processed with or without the use of electronic or automated means, via suitable tools that will guarantee security and confidentiality. Personal data from you supplied will be communicated to Continuing medical Education Accreditation Authorities, to agencies that will take care of the whole accreditation process and agencies that will take care of the logistics of the event; should we not receive the below requested data, we will not be able to process your registration to the event. At anytime you may exercise your rights as laid down in the art. 7 of Italian Legislative Decree n. 196, 30 June 2003 of the Italian Law, by contacting Dolphin Organization Strada maggiore, 90 - 40125 Bologna Italy – mail@dolphinorganization.com

ACCEPT REJECT