ENDO CLUB NORD 2018

November 2 and 3, 2018 in Hamburg, Hamburg Messe West

Online Registration

* mandatory

Mr Mrs

Title

First name*

Last name*

Institution

Department

Street*

Zip*

City*

Country*

Phone*

Fax

E-mail*

Statistical data:

Hospital Based Medical Practice Based Others

Medical Specialty:

Gastroenterology Internal Medicine Surgery Others

Registration Code

Code

Only valid vor normal tickets. No team ticket!

Mandatory registration to the ENDO CLUB NORD:

Registration and Receipt of Payment

by 19.09.2018

after 20.09.2018

Physician

240,-

280,-

Nurse*

70,-

90,-

Assistant Physician*

70,-

90,-

Student*

70,-

90,-

Member

DGE-BV*

200,-

240,-

DGVS*

200,-

240,-

bng*

200,-

240,-

ESGE*

200,-

240,-

*Please submit your certification together with your registration or via e-mail to sophia.schmidberger@cocs.de. Without certification the regular registration fee will be charged.

Mandatory registration to the Olympus Pre-Symposium „Endoscopic Imaging 2020 and beyond“ on Thursday, 01.11.2018 from 3.30 to 6.30 p.m.:

Olympus Pre-Symposium „Endoscopic Imaging 2020 and beyond“

> Participation is free of charge but only possibly in combination with the congress registration to the ENDO CLUB NORD.

> Please note that the number of participants is limited - please register in advance.

ENDOCLUBNORD-Teamticket 1+2 (1 Physician and 2 Nurses)

Mandatory registration to the ENDO CLUB NORD:

Registration and Receipt of Payment

by 19.09.2018

after 20.09.2018

Teamticket 1+2 (1 Physician and 2 Nurses)

350,-

390,-

Salutation

First Name

Surname

Olympus Pre-Symposium

Salutation

First Name

Surname

Olympus Pre-Symposium

ENDOCLUBNORD-Teamticket XXL (entire dept./practice)

Mandatory registration to the ENDO CLUB NORD:

Registration and Receipt of Payment

by 19.09.2018

after 20.09.2018

XXL Teamticket (entire dept./practice)

550,-

600,-

-> Registration to the Olympus Pre-Symposium of any accompanying persons via e-mail to sophia.schmidberger@cocs.de

Salutation

First Name

Surname

Salutation

First Name

Surname

Salutation

First Name

Surname

Salutation

First Name

Surname

Salutation

First Name

Surname

Personal congress documents will be distributed on-site at the registration desk next to the entrance of the Hamburg Messe West. Participants from Germany, Austria and Switzerland will receive their documents by mail if payments are received by October 15, 2018.

Please select a payment method:

Credit Card

In the next step your are able to pay your registration fee directly via credit card.

Mastercard
visa Visa

Sofort Payment

In the next step your are able to pay your registration fee directly via immediate transfer.

sofortueberweisung

Payment via Transfer

After your registration you will receive an automatic confirmation and request of payment.

Bank transfer to:

Account holder: COCS GmbH
Bank: HypoVereinsbank Munich
IBAN: DE30 7002 0270 0039 6131 40
BIC / SWIFT: HYVEDEMMXXX
Reference: TN Last name, First name (ecn2018)

Please note that we do not cover any bank charges.

Payments after 15. Oktober 2018 can only be accepted on-site at the registration desk in the Hamburg Messe West.

In case of cancellation until 15. Oktober 2018 we will reimburse your payment but a service fee of 30,- EUR will be charged. Please note that no refunds will be made in the event of any cancellations received after that date.

I hereby agree to receive further information concerning this event via e-mail.

I do not want to receive further information via e-mail.

I certify that I have read and accept the general terms and conditions for booking.

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