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Abstract Submission

Last Name
First Name
Title (PhD; MD etc)
Name of Institution
Department
Address
Postal code
City
Country
Telephone
Fax
E-mail address
Position

SHORT CV
(not for parents and associations)

Reservation
( Please click on the wished Option )
The reservation conditions refer to one single person.
Option A
60.00 €

Registration to the European Working Group On Rett Syndrome
includes coffee-break and lunches during the meeting
(are excluded Hotel, transportation and supper)
Option B
250.00 €

Registration to theEuropean Working Group On Rett Syndrome with Hotel reservation and payment within December31st 2006

  • Travel A/R from Busto Arsizio to the Hotel.
  • Hotel for the night of April 19th 2007, comprised breakfast.
  • Coffee break and lunches during meeting.
  • Supper of April 19th2007.
Option C
300.00 €

Registration to the European Working Group On Rett Syndrome
with Hotel reservation and payment within February 15th 2007

  • Travel A/Rfrom Busto Arsizio to the Hotel.
  • Hotel for the night of April 19th 2007, comprised breakfast.
  • Coffee break and lunches during meeting.
  • Supper of April 19th2007.
Extra Nights Reservation

For reserve extra nights at the Hotel, (excluded April 19th 2007) the price is fixed in € 100,00 and includes breakfast

Night of April 17th 2007

100.00 €
Night of April 18th 2007
100.00 €

Night of April 20th 2007

100.00 €

Night of April 21st 2007
100.00 €

Night of April 22nd 2007

100.00 €
Night of April 23th 2007
100.00 €

AMOUNT DUE
€

Availability to participate at visit guided tour on the Lake Maggiore to the Borromee Islands, Saturday, 21st April 2007 the cost has to be defined.
Yes
No
Space for special request or informations :

Modality of registration and terms of payment

1. After the shipment of this form you will receive an email with the confirmation of yourregistration .
2. The meeting secretariat will subequently send a second email to you with the indication of the amount to pay.
Payment must be done within two weeks after this comunication,pein the decay of the reservation.
3. The following methods of payment are accepted:

  • Money Transfer :
    Banca Agricola Mantovana - Agency of Sermide (MN)
    account of Pro Rett Ricerca N.100500/32
    IT09 CIN GABI 05024 CAB 57970
  • Cheque
    made to Pro Rett Ricerca
    and send by registered mail at the followingaddress:
    Pro Rett Ricerca
    Meeting Secretariat
    Laura Rasetti
    Via Nigra 58
    10081, Castellamonte (TO) Italy

 4. At the reception of your payment another email containing the confirmation and acceptance of your reservation will be send.