ESOC-6 ··· Marbella (Málaga

MARBELLA (Málaga - Spain) | 22 - 25 JUNE 2010

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Invitation

Faculty

Scientific Program

Conference Secretariat
and Information

General Information

Exhibition information

Registration and Lodging Form

Call for Abstracts

Contact

Registration and Lodging Form

PERSONAL DATA

*Mandatory data

*Last Name:

*First Name:

Department:

Institute/Hospital:

*Address:

*Postal Code:

*City:

*Country:

*Telephone:

Fax:

*E-mail:

*Passport number:

REGISTRATION FEES

*Mandatory data

Registration Fees	By March 15	By May 15	After May 15 & on site

ESMO/EORTC Members	777 €	906 €	1.036 €

Non Members	1.000 €	1.130 €	1.260 €

Physicians in Training	450 €	450 €	450 €

Taxes included.

Physicians in training must present a document signed by the Head of Department.

Cancellations: Before May 15, refund of all fees except 15% of handling fee. After that date 50 % refund.

Registration fee includes: Registration includes Pre Conference Course, Participation in conference, documents, Welcome Cocktail and Conference Dinner.

Accompanying persons fee includes: Welcome Cocktail and Conference Dinner.

Accompanying person fee	180 €

TOTAL REGISTRATION FEE: Rellenar el formulario anterior.

PAYMENT

*Mandatory data

By bank transfer

By card

Payments should be made in Euro to:
Fundación para la Investigación y Formación en Oncología.

By bank transfer to: Banco Santander Central Hispano
Bank Address: Serrano 47 - 28001 Madrid, Spain
Account no.: 0049 - 1803 - 56 - 2010306951
(Please enclose copy of payment with your registration form)

Please send copy of payment to fax no. 00 34 91 571 92 06 or enclose a file (JPG, GIF or Word format) by clicking in "Payment receipt".

Payment receipt:

PLEASE, FILL IN FOR INVOICE PURPOSES (REGISTRATION)

Individual

Company

*Last Name:	*First Name:
*Passport number:	*Address for invoice:

ACCOMMODATION

Yes No

HOTEL

Hotel	Single	Double

Hotel Barceló Marbella ****	100 €	112 €

Prices are per room, including breakfast and taxes.

Taxes included.

Cancellations: Before May 15 full reimbursement less 15% of handling fee. One-night deposit will be charged for cancellations made after that date. No reimbursement will be given 7 days before the conference takes place.

Room rates nor room availability can be guaranteed after April 12th , 2010.

Rooms have been booked from June 22^nd to June 25^th .Please check with the secretariat for other dates.

HOTEL RESERVATION FORM

*Mandatory data

*Hotel:

*Single rooms:

*Double rooms:

*Date of arrival:

*Date of departure:

Please select on the form : hotel, room accommodation and dates of arrival and departure.

HOTEL PAYMENT

*Mandatory data

By bank transfer By card Mismos datos de tarjeta de crédito Inscripción

Payments should be made in Euro to:
BENEANDCO S.L.

By bank transfer to: Banesto
Account no.: 0030 - 1037 - 25 - 0000643271
Bank Address: Pza. de la Lealtad nº 2 - 28014 Madrid.
(Please enclose copy of payment with your reservation form)

Please send copy of payment to fax no. 00 34 91 571 92 06 or enclose a file (JPG, GIF or Word format) by clicking in "Payment receipt".

IMPORTANT: If you wish to pay by bank transfer your registration and accommodation, you should make two different bank transfers, (please note there are two different bank accounts). You are entitled to send us the two copies of your payments, as registrations and accommodations are processed separately.

Copy of payment:

PLEASE, FILL IN FOR INVOICE PURPOSES (HOTEL)

Individual Company Take data from Registration invoice

*Last Name:	*First Name:
*Passport number:	*Address for invoice:

I have read and accept the legal disclaimer. Legal Disclaimer.

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