Participant Registration 190 EUR/ person (incl. Taxes)
The registration fee includes an overnight stay, dinner and catering during the symposium. If you won´t need a hotel room the participation fee is 60, – EUR (incl. Taxes).
NoneM.D.Dr.PD.D.M.S.ProfOther, please specify
I would like to book a*
Single roomDouble room**No room needed
**A surcharge for the double room (25,-EUR) will be charged directly to the attendee.
You will receive a confirmation email with further details regarding your registration. Hotel reservation will be confirmed after transaction is completed.
General Terms and Conditions of Brainlab AGWithdrawal Form
A cancellation without incurred costs is possible via fax or email until October 23, 2017.Fax: +49899915680 or email: email@example.com
Brainlab Germany Headquarters Olof-Palme-Straße 9 81829 Munich Germany
Bank Account Details
Recipient: Brainlab AG Account number: 338 807 31 Bank: Hypovereinsbank AG Bank code: 700 202 70 IBAN: DE30 7002 0270 0033 8807 31 Reference: ENT Symposium 2017
For questions regarding the registration, you can always contact Ms. Hain:
Johanna Hain firstname.lastname@example.org + 49 89 99 15 68 0