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Conference Registration STVAH/AVSAH 2010
Last Name:
First Name(s):
Street / No.:
Zip and City:
Country:
Phone:
Email:
IAVH:
Board Member
Member
Not Member
STVAH/AVSAH:
Member
Not Member
Conference:
Friday and Saturday
Friday only
Saturday only
I do not attend
Registration Fee
before 01-10-2010
after 01-10-2010
one day only
Non members
550 CHF
600 CHF
325 CHF
Members
450 CHF
500 CHF
275 CHF
Students
300 CHF
350 CHF
170 CHF
Lunches Fri/Sat and dinner Fri included
Dinner/Event Friday Evening:
Yes, I attend
No
vegetarian
I eat meat
Lodging:
Thursday to Friday
Friday to Saturday
Saturday to Sunday
Room Preferences:
1. Choice:
no lodging
Single, no shower/WC in room, CHF 102.00
Double, no shower/WC in room, CHF 97.00
Double, with shower/WC, CHF 118.00
Double, with shower/WC, single usage, CHF 148.00
Triple with shower/WC, CHF 108.00
2. Choice:
no lodging
Single, no shower/WC in room, CHF 102.00
Double, no shower/WC in room, CHF 97.00
Double, with shower/WC, CHF 118.00
Double, with shower/WC, single usage, CHF 148.00
Triple with shower/WC, CHF 108.00
I share my room with:
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