ACCOMMODATION FORM
CEDA/FID SCIENTIFIC UPDATE SYMPOSIUM, DIABETES CONTROL AND PREVENTION OF VASCULAR COMPLICATIONS: ACHIEVEMNETS AND DILEMMAS
Surname: * Name: *
Institution: *
Address: * Postcode/City/Country: *
E-mail: * Contact phone: *
* Required fields!
ACCOMMODATION - (2 nights, BB basis) will be provided for registered participants.
HOTEL
HOTEL CROWNE PLAZA **** Single Room CROWNEPLAZASNG11: YES Double Room CROWNEPLAZADBL12: YES
I wand to share room with: No. of nights:
TRAVEL INFORMATION Airport Transfer AIRPORT_TRANSFER: YES
Arrival Date: Departure Date:
Arrival Time: Departure Time:
Arrival Flight Number: Departure Flight Number:
Arriving From: Destination:
IMPORTANT! Deadline to send Accommodation form is November 30 , 2018
After receipt of the registration form, the Local executive organizer will send the Hotel Confirmation.
 I agree with the terms of participation to the Symposium*I agree with the terms of participation to the Symposium
 
Copyright 2015 Smart travel PCO. Design by EklipsaNET