Secure Registration and Accomodation Form

Please complete the form and click on the submit button
Medical Event Solutions GmbH. Yvonne Beetz, Bahnhofstr. 48, D-12305,Berlin Germany
Tel.: +49 (0) 30 / 700 789 5-0, Fax: +49 (0) 30 700 / 789 5-111, E-mail: info@mes-berlin.com
Please fill in all of the fields marked with an asterisk (*).
1. DELEGATE DETAILS

First Name *

Family Name *

Institution *

Title

Dept./Position *

Address (Street) *

City & Post Code *

Country *

Telephone *

Fax

Mobile phone

E-mail *

2. CONGRESS REGISTRATION & ACCOMODATION

Please select the category below as appropriate:

  • Registration in all categories listed below includes participation at the meeting, accommodation for 3 nights from May 20-23, including full board for these dates (breakfast, lunch, dinner and coffee breaks).
  • 1Non-members qualify for the reduced registration rate by becoming a member of ISMNI before handing in their registration form. Please register on-line here.
  • 2Accompanying persons are not allowed to attend the scientific session but have access to full board
  • 3Full participation in meeting including full board but no accommodation.
    Select this option if you do NOT want to stay at the 'Kardinal Schulte Haus' or if the congress hotel is fully booked. Make your own hotel reservation at http://www.lust-auf-bensberg.de/
  • 4You have to purchase tickets for €30 per person for the conference dinner (Kölsche Evening), which will give you access the area with the life band for dancing. The ticket includes consumption of a limited number of alcoholic and non-alcoholic beverages (wine and beer).
  • 5Accommodation additional night before or after meeting (€100 per night per person).
    The meeting will start after lunch on May 20th and finish at lunchtime on the 23rd.

 

Category
Before
05/04/10
After
05/04/10
ISMNI Members *
(single occupancy)
€550
€600

ISMNI Members (double bedroom/double occupancy)
You MUST indicate the name of the person
who shares the room with you!

€500
€550
1Non Members *
(single occupancy)
€630
€680
1Non Members * (double bedroom/double occupancy)
You MUST indicate the name of the person
who shares the room with you!
€580
€630
Students * (single or double occupancy)
You MUST indicate the name of the person
who shares the room with you!
€350
€400
2Accompanying persons *
(in double bedroom with double occupancy only)
You MUST indicate the name of the person
who shares the room with you!
€350
€400
3Meeting Registration only with full board *
(no accommodation!)
€400
€450
4Ticket for the Conference Dinner & Dancing
'Kölsche Evening' on May 22th
€30
€30
5One additional night before the meeting
(May 19/20)
€100
€100
5One additional night after the meeting
(May 23/24)
€100
€100


3. REGISTRATION PROCESS
  1. Please fill in the form electronically on our web-site (www.ismni.org) and pay by credit card
  2. or return the completed form by e-mail or FAX to
    Mrs Yvonne Beetz,
    Medical Event Solutions GmbH
    Bahnhofstr. 48, D-12305 Berlin, Germany
    Tel.: +49 (0) 30 / 700 789 5-0, Fax: +49 (0) 30 / 700 789 5-111, info@mes-berlin.com

In case we can no longer book you into the 'Kardinal Schulte Haus' due to overbooking, you will be contacted by Mrs. Yvonne Beetz from Medical Events Solution:

In that case your Credit Card will not be charged and you have the option of booking into another hotel over the internet (http://www.lust-auf-bensberg.de/). When the web-site is loaded in German just click on the HOTEL button and scroll down to see all the hotels, their descriptions and the prices. You can then contact the hotel directly or click on the 'british flag' at the top of the page to get to the 'online inquiry form' in english. Do not click on the 'british flag' to change to English language before looking at the list of hotels, since the hotel list is only visible in the 'German version' of the web-site. Fill it in and send it off electronically and you will get an offer for your stay by e-mail. The service is free of charge. This is however more expensive than staying at the 'Kardinal Schulte Haus' so be quick if you wish to profit from our cheap special rates. The Kardinal Schulte Haus can only be booked through MES (Yvonne Beetz, see above) since we have reserved the entire Hotel for the duration of the Conference.
If you prefer to stay at another hotel or can no longer get into the Kardinal Schulte Haus you still have to pay the registration fee for attending the meeting of €400/person (or €450 if registering after March 31st). This fee also includes full board (breakfast, lunch, dinner and coffee breaks).

4. REGISTRATION CANCELLATION POLICY

Cancellation of registration should be in writing and sent to Yvonne Beetz by e-mail or FAX (see above for details). For every written cancellation received before March 31st 2010, the full amount received minus 30% handling fee will be refunded. No refunds can be made thereafter. All refunds will be made within 2 months after the end of the meeting. Bank charges will be deducted.

5. PAYMENT METHOD

All payments should be made either by credit card through our web-site or by bank transfer.

Please Indicate the method of payment

By transfer to MES's Bank account *

Sparkasse Berlin,
Acc. No. 660 404 5038
BLZ: 100 500 00
Acc Holder's name (in English): Medical Event Solutions GmbH, Mrs Yvonne Beetz,
IBAN: DE54 1005 0000 6604 0450 38
SWIFT/(BIC) Code: BELADEBEXXX

(Please keep your receipt of bank transfer for future reference)

By Credit Card

Please select your credit card *: VISA Mastercard
American Express

Card holder's name *
Card number *
Card security number * Printed on the back side of your credit card
Card expiry date *

(You will be contacted by ISMNI prior to charging your credit card)