Registration

Personal information:

First name *

Middle name

Last name *

Title

Organisation *

Address *

Postal/Zip code *

City *

Country *

E-mail *

Confirm E-Mail *

Phone number *

REGISTRATION

Registration fee includes: admission to all congress sessions, poster and exhibition areas, Congress materials: Program, abstracts, congress bag, ID card, Welcome reception, lunches, coffee breaks

Please, tick this box in case you have register already and would like to take part in additional events or services.

Physicians 2.935,00 kn (390 EUR)

Young physicians (up to 40 years of age), residents, nurses and technicians 1.920,00 kn (255 EUR)

Exhibitor fees 2.935,00 kn (390 EUR)

Students are free of charge

Accompanying person registration options:

Yes, there will be an accompanying person

First and Last name

Accompanying person 1.920,00 kn (255 EUR)

None

Extras:

You

Congress dinner 525,00 kn (67 EUR) - No

Congress dinner 525,00 kn (67 EUR) - Yes

Accompanying person

Congress dinner - accompanying person 525,00 kn (67 EUR) - No

Congress dinner - accompanying person 525,00 kn (67 EUR) - Yes

Accommodation:

The accommodation is organised at hotel Valamar Lacroma Dubrovnik with special congress prices. Prices are expressed per room per day (VAT and sojourn tax are included in the prices below)

Hotel	Single	Double
Hotel Valamar Lacroma Dubrovnik 4* - SOLD OUT
	I don't need accommodation

Payment:

Pay via credit card (VISA, MasterCard and AMEX accepted)

Pay via bank transfer (you will receive a confirmatin e-mail with payment details)

Payment details:

All payments will be effected in Croatian currency (HRK). The amount your credit card account will be charged for is obtained through the conversion of the price in Euro into Croatian kuna (HRK) according to the current exchange rate of the Croatian National Bank. When charging your credit card, the same amount is converted into your local currency according to the exchange rate of credit card associations. As a result of this conversion there is a possibility of a slight difference from the original price stated in our web site.

After you submit the form you will be redirected to a secure website to enter your credit card details and finish off payment. You should receive an e-mail from our payment gateway WSPay about your payment status.

We accept the following credit cards types: MasterCard, Visa, American Express.

All bank transfer fees must be covered by participant. You will receive a confirmatin e-mail with payment details.

Account holder: Conventus Credo d.o.o.
IBAN: HR5324840081103726602
Raiffeisen bank Austria d.d. Zagreb,
Petrinjska 59, 10 000 Zagreb, Croatia
SWIFT: RZBHHR2X
NOTIFICATION: MKS2022, participant's name

Invoice to be issued to:

If you would like to have the invoice issued to a different person or to a company, please fill in all the fields. For a person use the First and Last Name field, and for the company use the Company Name field.

Same as personal info

I would like invoice to be issued to:

First and Last Name:

Company Name:

OIB/VAT ID/TAX ID:

Street Name, Number:

Postal Code, City:

Country:

Total:

Registration

Accommodation

Extras

Total

Total HRK

Submit registration:

By submitting this form, you acknowledge that you have read and understood the and agree to all its terms and conditions.

In case you don't receive submission confirmation e-mali within 2 hours, please contact us at danijela@conventuscredo.hr