Refunds are made at the discretion of EASDec and may incure a handling charge of 4.5%

EASDEC CONFERENCE BOOKING FORM

Please use the form below to make bookings for yourself as a delegate. Please check all details before making the payment. If you would like a colleague to make an additional booking as a delegate please forward the address of this site to your colleague.
 

Your Details

* indicates the compulsory fields

Title   Mr, Mrs, Dr, . . .
First name *    
Surname *    
Email *    
Address *    
   
     
Town/City    
County/State    
Postcode/Zip    
Country *    
Telephone *    
Organisation    

Conference And Events Details

Registration Fee:   €325 Note: if you are eligible for student rate AND your abstract has been accepted you should NOT make payments via this web site you should contact the EASDec conference team and make arrangements to pay. If you make any payment now a handling charge may be incurred when refunding the difference.

Welcome Reception

I will be attending the Welcome Reception at the EASDec welcome reception (included in cost). Information is required for numbers. PLEASE untick the box if you will not be attending!

Gala Dinner

NO LONGER AVAILABLE   I will be attending the Gala dinner at the EASDec Conference (€20 contribution).  NOTE: Dress code smart casual.
 
Please tick the box on the right if you prefer the vegetarian option for meals

Accompanying guest

Please tick the box on the right if a guest is accompanying you (€75).
Guest Title   Mr, Mrs, Dr, . . .
First name of guest
Surname of guest
Extra ticket for guest at the EASDec welcome reception (please un-tick if not required)
NO LONGER AVAILABLE  Extra ticket for guest for Gala dinner at the EASDec Conference (€20 contribution)
Please tick the box on the right if your guest prefers the vegetarian option for meals
There will be no accompanying person programme organised at this year's conference. However, if you wish to meet up with other guests and explore the conference location in good company, please tick the box below and we will contact you in due course.

Accompanying guest 2

Please tick the box on the right if a guest is accompanying you.
Guest Title   Mr, Mrs, Dr, . . .
First name of guest
Surname of guest
Extra ticket for guest for Welcome Reception at the EASDec welcome reception (€20)
Extra ticket for guest for Gala dinner at welcomeEventString (€0)
Please tick the box on the right if your guest prefers the vegetarian option for meals

Accompanying guest 3

Please tick the box on the right if a guest is accompanying you.
Guest Title   Mr, Mrs, Dr, . . .
First name of guest
Surname of guest
Extra ticket for guest for Welcome Reception at the EASDec welcome reception (€20)
Extra ticket for guest for Gala dinner at welcomeEventString (€0)
Please tick the box on the right if your guest prefers the vegetarian option for meals

Accompanying guest 4

Please tick the box on the right if a guest is accompanying you.
Guest Title   Mr, Mrs, Dr, . . .
First name of guest
Surname of guest
Extra ticket for guest for Welcome Reception at the EASDec welcome reception (€20)
Extra ticket for guest for Gala dinner at welcomeEventString (€0)
Please tick the box on the right if your guest prefers the vegetarian option for meals

Accompanying guest 5

Please tick the box on the right if a guest is accompanying you.
Guest Title   Mr, Mrs, Dr, . . .
First name of guest
Surname of guest
Extra ticket for guest for Welcome Reception at the EASDec welcome reception (€20)
Extra ticket for guest for Gala dinner at welcomeEventString (€0)
Please tick the box on the right if your guest prefers the vegetarian option for meals
TOTAL:  € 325

 

PLEASE NOTE: YOU DO NOT HAVE JAVASCRIPT ENABLED - THE TOTAL WILL BE CALCULATED AFTER YOU CLICK THE CONTINUE BUTTON PLEASE IGNORE TOTAL ABOVE OR ENABLE JAVASCRIPT IN YOUR BROWSER. YOU WILL NEED TO ADD THE VALUES MANUALLY!!
ONLY If you live in the UK and wish to pay by cheque then tick the box on the right. Payment details for UK cheques are shown later.
By clicking on the continue button you agree to terms and conditions (link will open in pop-up window)