Information about participant

Name:*
Company name:*
Address:*
- Invoice information:*
- Contact person:*
- Telephone number:*
- Fax:
- e-mail:*
- VAT number:

More than one participant?

- Name
- E-mail
- Name
- E-mail
- Name
- E-mail
- Name
- E-mail

Change the currency into Euro
To meet your requests for prolonging the Early Bird period, we have established new deadlines
Early-bird registration: (1.10.-31.11 2008) - 3800 PLN net
Regular registration: (1.12.2008-31.01.2009) - 4500 PLN net
Late registration: (1.02-5.02.2009) - 5000 PLN net
Registration for person(s)
Registration fee in total: PLN +22% TAX
Sum PLN
Additional notes:

One person fee includes: participation, conference materials, lunch & dinner. Participants book the hotel individually. The Sheraton Hotel offers a discount for conference participants. The payment should be sent on the following bank acount account:

SRB
ul. Magnacka 6, 60-685 Poznań
ING Bank Śląski, Account number: 70 1050 1520 1000 0023 2381 2756

After the payment is received, you will be given by e-mail the code entitling for a discount in the Sheraton Hotel and the Ibis Hotel.

Contact

e-mail: conference@neuroconnections.eu
phone + 48 22 429 24 84
fax +48 22 429 25 96

Conference coordinators:
INTERNATIONAL - Katarzyna Lopaciuk +48 602 432 591
POLISH - Malgorzata Grudzinska +48 600 069 584

Register

Neuro Connection