Home Panel

Personal data

The fields marked with * are required.

Title * Prof. Dr. Mr. Mrs. Miss.
Family name *
First Name *
Institution *
Department
Postal code *
City *
Street *
Country *
Phone *
(incl. country and area code)
Fax
(incl. country and area code)
E-mail *
Accompanying Person Name(s)
 
 
I need invitation letter for VISA purpose. (Express mail fee from 30 €): yes no
To be issued to the Name and Address:

Registration fee

 
Early Bird Fees
Until 15 July, 2009 		Regular Fees
After 15 July, 2009
Pain Conference and Practical Workshop  1430 EUR  1600 EUR
Pain Conference  1000 EUR  1150 EUR
Interventional Pain Techniques Review Course and Workshop  1430 EUR  1600 EUR
Faculty  0 EUR  0 EUR
Hotel Reservation only  0 EUR  0 EUR
Accompanying person fee  280 EUR  350 EUR

Incl: 25 % VAT

Hotel Accommodation

Prices indicated in EUR per room, per night, including breakfast and all taxes.

Hotel Single Double
Kempinski Hotel Corvinus Budapest***** 175 EUR 195 EUR
Hotel Central Basilica*** 80 EUR 90 EUR
Domina Inn Fiesta Budapest Hotel*** 75 EUR 87 EUR

Arrival: Departure: Number of Nights: ???
Special requests:
I would like to share my room with:

Hotel reservation will be made only on receipt of 2-night hotel deposit.

Optional Tour

Optional tours Price Person(s) Amount
Sightseeing tour in Budapest
Monday, 31 August, 09.30-13.00 		25 Euro
(including in the accompanying person fee) 		? EUR

Optional Tours prices are included 25% VAT.

Cancellation of Registration, Hotel Accommodation and Optional tour

All the cancellations and changes must be sent to the Congress Organiser (CongressLine Ltd.) in written form. All refunds will be processed after the PAIN Conference. Please send your exact bank account details in the written cancellation.

Refund of the registration will be made as follows:

  • 100% refund (minus an administrative fee of 50 Euro) – in case of cancellation, received before 15 July, 2009
  • No refund – in case of cancellation, received after 15 July, 2009

Refund of the hotel accommodation will be made as follows:

  • 100 % refund (2 night deposit) – in case of cancellation, received before 15 July, 2009
  • No refund (2 night hotel deposit will be charged) – in case of cancellation, received after 15 July, 2009

Refund of the optional tours will be made as follows:

  • 100% refund (minus an administrative fee of 15 EUR) – in case of cancellation received, before 15 July, 2009
  • No refund – in case of cancellation received, after 15 July, 2009
  • If the tour is not completed, the entire fee will be refunded.

Payment

Payment Total
Registration fee ? EUR
Accommodation 2-night deposit ? EUR
Optional Tours ? EUR
Total ? EUR

Payments should be made in advance by one of the following methods:

ATTENTION! For your security, CongressLine consults with the bank about the credit card data given, and your card will be charged only after a pre-authorisation process. (This manual process could take even one or two working days)

Credit Card
Please charge EUR: 0 to my VISA EC/MC AMEX

Card number

     
Cardholder's name:
Billing address of the Cardholder:
Expiry date:   /    MM/YY
CVC Code only VISA and EC/MC
(the last three digits on the back of the credit card where the signature is):
Please note that our Office will debit your credit card in EUR.
Bank Transfer
Account Holder's Name: CongressLine Ltd.
IBAN Number: HU19 10404027 50504851 52551011
Bank: K&H Bank Zrt. (H-1051 Budapest, Vigadó tér 1. Hungary)
Swift Code: OKHBHUHB
Please indicate “2009/14”

All charges due to bank transfers have to be paid by the sender. The name and address of the sender have to be marked clearly on every remittance.

The Congress Bureau does not take any responsibility coming from the fact that the registration form is not readable or includes contradiction in the data provided.

Please send me an invoice in advance: yes no

I have read and accept the cancellation terms as contained within the official website.