Registration form

Osteology Kraków

9 - 10 April 2010

Please, fill in the form. The obligatory spaces are marked with a star.

Family Name *
First Name *
Title
Institution
Mailing address *
City * Postal code
Country *
NIP
Phone *
Fax
Email
Accompanying person(s)
 
Conference and Workshops
Conference fee includes participation in sessions and meal (coffee brakes and lunches).

Early registration: before 31st December 2009 - 190 EUR
Registration from 1st January till 28th February 2010 - 210 EUR
Registration after 1st March 2010 - 230 EUR

Pre-Congress day on Friday 9th April 2010 - Workshops
Workshops fee includes participation at one selected of the listed below workshop and meal (coffee breaks and lunch).
There is a possibility of participation in two workshops - one in the morning session (9.00 - 14.00) and second one in the afternoon session (14.00 - 18.00).

Morning Session
T-19.00 - 13.00Milestone Scientific - Mark Hochman85 EUR
T-29.00 - 13.00Astra Tech85 EUR
P-19.00 - 13.00Geistlich - Anton Sculean135 EURsold out
P-29.00 - 13.00Osteology Foundation - Mariano Sanz/ Fabio Vignoletti135 EURsold out
Afternoon Session
T-314.00 - 18.00Mectron - Domenico Baldi, Piotr Majewski85 EUR
T-414.00 - 18.00Dentsply/Friadent - Orcan Yüksel, Krzysztof Chmielewski85 EUR
P-314.00 - 18.00Osteology Foundation - Wilfried Wagner135 EURsold out
T-514.00 - 18.00Straumann - Frank Schwarz85 EUR
Reserve registration list
Geistlich - Anton Sculean
Osteology Foundation - Mariano Sanz/ Fabio Vignoletti
Osteology Foundation - Wilfried Wagner

If there is no place in the workshop I have chosen,
I am interested in the workshop no:

If there is no place in the workshop I have chosen, I am not interested in any other workshops.


ATTENTION!
The number of participants is limited!
The participation at the workshop will be determined by the order of payment.
Participation at workshops only:
Option available from 2nd of March 2010.
The Conference participants have priority.


Gala party
9th April 2010 (Friday) at 21.00
Price for one person invitation 80 EUR
I reserve tickets



Accomodation
Please book a:
single roomprice: 470 PLN
double roomprice: 500 PLN
at Hotel Radisson SAS Kraków
from - till: . Amount of days:
Price for the room includes breakfast "super breakfast buffet", fitness club, internet and taxes.
Payment at the Hotel Reception Desk: PLN

I case of self booking in other Hotels, www.boking.com recommended


Payment
Total Registration Fees Vat included: EUR


Details for bank transfers:

FM Produkty dla Stomatologii Sp.j.
31-261 Kraków, ul. Wybickiego 1/49A
Account number: PEKAO S.A. O/Kraków,
nr: PL17 1240 4432 1978 0000 4725 5391, Swift Code: PKOPPLPW

Your registration will be confirmed in writing.

The Conference documentation and all necessary vouchers will be delivered on site at the Conference Registration Desk in Auditorium Maximum of the Jagiellonian University

Form sent without payment will not be considered.

Notes
www.osteologia.pl
www.osteology.pl
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