REGISTRATION FORM

19th Annual Meeting of the European Venous Forum
Royal Olympic Hotel, Athens, Greece
28-30 June 2018

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
(e.g. 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%)

File:

Registration Fee for Doctors and Trainees includes:

Admission to the main Scientific Sessions
Admission to the exhibition
Congress Material (badge, delegate bag, final programme, etc)
Accredited Certificate of Attendance
Welcome Reception

Participation in Social Events

Fees (euro/incl. VAT 24%)

Social Event	Fee	No of tickets	Total (€)
Welcome Reception – Thursday 28 June 2018	Free
Congress Dinner, Friday, 29 June 2018	70€

Participants can apply for participation to the dinner through the online form the latest by May 25th, 2018.

TOTAL PAYMENT DUE =

All payments for the Congress must be made in EUROS to Conferre SA.
Conferre SA is the Professional Congress Organizer and acts on behalf of the European
Venous Form for collecting the Registration Fees for the 19th Annual Meeting of the European Venous Forum.

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 (EVF2018)

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

Α copy of the bank remittance should be sent by e-mail (info@conferre.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 and refund Policy:

All cancellations and/or amendments have to be made in writing to Conferre SA (info@conferre.gr). No telephone cancellations and/or amendments will be accepted.

Refund of fees, less 30% administration charges may be applied for until 31 May 2018.
No refund will be made for cancelations made on and after 1/06/2018.

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"

Your data is stored on a secured database on Greek Servers of TOP HOST, operated by Conferre SA and will only be used for purposes of this event. This enables us to keep you up to date with information on registration, abstracts, scientific programme, receive information from companies exhibiting/supporting the congress, the exhibition and other aspects of the EVF 2018 Congress. Your data (apart from that required for legal or financial reasons) will be deleted after the congress.

If you wish to receive further information, please tick the appropriate box:

Please send me details of forthcoming EVF meetings/Events
I wish my details to be included in the list of participants and be made available to exhibitors/sponsors of the meeting
I do not wish my details to be included in the list of participants and be made available to exhibitors/sponsors of the meeting

Note: Photography and filming may take place at the event for security purposes. Material may be used on the EVF Website and on social media platforms of the EVF. If you have any concerns, please speak to a member of the EVF team.