ESOC-5 ··· Marbella (Málaga

MARBELLA (Málaga - Spain) | 25 - 27 JUNE 2008

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Invitation

Faculty

Scientific Program

Conference Secretariat
and Information

General Information

Exhibition information

Registration and Lodging Form

Call for Abstracts

Contact

Registration and Lodging Form

PERSONAL DATA

*Mandatory data

*Last Name:

*First Name:

Department:

Institute/Hospital:

*Address:

*Postal Code:

*City:

*Country:

*Telephone:

Fax:

*E-mail:

*Passport number:

REGISTRATION FEES

*Mandatory data

Registration Fees	By March 15	By May 15	After May 15 & on site

ESMO/EORTC/AACR Members	726 €	847 €	968 €

Non Members	935 €	1.056 €	1.177 €

Physicians in Training *	363 €	363 €	363 €

Taxes included: Please quote your company VAT no. or personal passport no. (Company CIF or NIF for Spain) for invoice purposes.

Cancellations: Before May 15, refund of all fees except 15% of handling fee. After that date 50 % refund.

Registration fee includes: Participation in conference, documents, Welcome Cocktail and Conference Dinner.

Accompanying people fee includes: Welcome Cocktail and Conference Dinner.

Accompanying people fee	180 €

TOTAL REGISTRATION FEE: Rellenar el formulario anterior.

PAYMENT

*Mandatory data

By bank transfer

By card

Payments should be made in Euro to:
Fundación para la Investigación y Formación en Oncología.

By bank transfer to: Banco Santander Central Hispano
Bank Address: Serrano 47 - 28001 Madrid, Spain
Account no.: 0049 - 1803 - 56 - 2010306951
(Please enclose copy of payment with your registration form)

Please send copy of payment to fax no. 00 34 91 571 92 06 or enclose a file (JPG, GIF or Word format) by clicking in "Payment receipt".

Payment receipt:

PLEASE, FILL IN FOR INVOICE PURPOSES (REGISTRATION)

Individual

Company

*Last Name:	*First Name:
*Passport number:	*Address for invoice:

ACCOMMODATION

Yes No

HOTELS

Hotels	Single	Double

Hotel Barceló Marbella ****	135 €	166 €

H10 Andalucía Plaza ****	90 €	128 €

Prices are per room, including breakfast and taxes.

Taxes included.

Cancellations: Before May 15 full reimbursement less 15% of handling fee. One-night deposit will be charged for cancellations made after that date. No reimbursement will be given 7 days before the conference takes place.

HOTEL RESERVATION FORM

*Mandatory data

*Hotel 1º option:

Hotel 2º option:

*Reservas individuales:

*Reservas dobles:

*Date of arrival:

*Date of departure:

Please select on the form : hotel, room accommodation and dates of arrival and departure.

HOTEL PAYMENT

*Mandatory data

By bank transfer By card Mismos datos de tarjeta de crédito Inscripción

Payments should be made in Euro to:
BENEANDCO S.L.

By bank transfer to: Banesto
Account no.: 0030 - 1037 - 25 - 0000643271
Bank Address: Pza. de la Lealtad nº 2 - 28014 Madrid.
(Please enclose copy of payment with your reservation form)

Please send copy of payment to fax no. 00 34 91 571 92 06 or enclose a file (JPG, GIF or Word format) by clicking in "Payment receipt".

IMPORTANT: If you wish to pay by bank transfer your registration and accommodation, you should make two different bank transfers, (please note there are two different bank accounts). You are entitled to send us the two copies of your payments, as registrations and accommodations are processed separately.

Copy of payment:

PLEASE, FILL IN FOR INVOICE PURPOSES (HOTEL)

Individual Company Take data from Registration invoice

*Last Name:	*First Name:
*Passport number:	*Address for invoice:

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