ONLINE REGISTRATION FORM
Before filling in this form read carefully the sections “Online Registration"

Please note that no Registration Form will be accepted unless accompanied by proof of full payment
(copy of bank remittance)

Please read carefully and follow the instructions mentioned below before completing each field:
Mandatory fields are marked with a red asterisk (*)
 
 
     
  Contact Details  
     
 
       
     
Surname:   *
Name:   *
Title/Position/Occupation:   *
Department/Hospital/ University/Institute etc:   *
Address:   *
Postal/ZIP code:
City/Town:   *
Country:   *
Telephone: [including country and area code]   *
Fax: [including country and area code]  
E-mail:   *
       
 
[This e-mail address is used for all correspondence regarding registration. Please ensure this address is working properly and check your spam filter settings. Please only enter 1 e-mail address]
 
 
     
  Registration for the Congress  
     
  Registration Fees (euro/incl. VAT 24%)
Fees apply to payments received prior to the indicated deadlines.
 
 
 
Registration Category Registration fee
1 Physicians 200€
1 Trainees 150€
2 Other 50€
 
 
 
 
     
 
 1.  Registration Fee for Physicians and Trainees includes:
  • Admission to the Congress area and scientific sessions
  • Admission to the exhibition area
  • Congress material
  • Certificate of Attendance
  • Coffee Breaks
  • Welcome Reception
 2.  Registration Fee for others includes:
  • Admission to the Congress area and scientific sessions
  • Admission to the exhibition area
  • Congress material
  • Certificate of Attendance
  • Coffee Breaks
  • Welcome Reception
 
     
 
 
     
     
     
  Receipts-Invoices  
     
 

I request for a RECEIPT issued to:

the contact details entered above  

the following details:  

     
Name / Surname:   *  
Occupation:   *  
City:   *  
Country:   *  
   

I request for an INVOICE issued to:

   
Name-Surname /Hospital/ Institution / Organization / Company etc:
  *  
Address:
  *  
Occupation:
  *  
VAT:
  *  (Mandatory field for participants from Greece.
If not necessary for issuing please fill in NO)
Tax office:
  (Mandatory field for participants from Greece.
If not necessary for issuing please fill in NO)
City:
  *  
Country:
  *  
   

In case of participants do not specify their request for invoice or receipt Secretariat will issue automatically a receipt.
All invoices and receipts for Registration expenses will be provided to participants upon completion of the Congress by the Secretariat, upon request.

 
  Methods of payment:  
     
     
 

All payments for the congress must be made in EUROS to Conferre SA.
Conferre SA is the professional Organizing-Administrative Bureau/Secretariat of the Congress and acts on behalf of the Congress Organizers.

 
     
 

A. By BANK TRANSFER:

1.  Bank of Piraeus, Branch of Ioannina 2405 (Dimokratias Sqr., Ioannina, Greece)
Bank account: 5405-014793-745
IBAN: GR38 0172 4050 0054 0501 4793 745
Swift-BIC: PIRBGRAA
Beneficiary: Conferre SA

2.  Alpha Bank, Branch of Ioannina 371 (Agiou Georgiou, Dimokratias Sqr., Ioannina, Greece)
Bank account: 371-00-2320-000940
IBAN: GR65 0140 3710 3710 0232 0000 940
Swift-BIC: CRBAGRAA
Beneficiary: Conferre SA


Notes:

Please on the bank remittance do not forget to mention:

  • Surname/Name
  • Reason of payment (REG_INTERN)

* Please transfer all payments free of charge for the beneficiary.


Α copy of the bank remittance should be sent by e-mail (admin@internalmedicine-uth.gr) or fax (+30 26510 68611) no later than 5 days after our receiving of the Registration Form. After this period your registration will not be processed.


B. By CREDIT CARD (Visa, MasterCard, Visa Electron, Maestro and American Express)

The preferred payment method for the Congress is online payment by credit card.
For security reasons, payment by credit card is being made online through Alpha e-Commerce system (the secure transaction service by Alpha Bank).

 
  Cancellation Policy:  
     
 
For any written cancellations cancellations sent to the Organizing-Administrative Bureau (email to admin@internalmedicine-uth.gr):

  • 1. Before & on 31/12/2017 there will be full refund
  • 2. From 01/01/2018 until 31/01/2018: 50% of the amount will be refunded
  • 3. From 01/02/2018 & onwards: there will be no refund
In case of cancellation, refunds will be settled within 30 days from the end date of the Congress. All cancellations and/or amendments have to be made in writing to Conferre SA. No telephone cancellations and/or amendments will be accepted.

 
 
  I have or I will submit an abstract for Presentation
 
 

Completing and returning this form will be taken as acceptance of terms for registration as mentioned in the Section "Online Registration"