PERSONAL DATA
The fields marked with * are required.
Title *
Family Name *
First Name *
Working Place
Department
Profession
Street *
City *
Zipcode *
Country *
Phone *
(incl. country and area code)
Fax
(incl. country and area code)
E-mail *
Accompanying Person Name(s)
 
REGISTRATION FEE
(*) EAPC Collective Members or individual members. All members of associations belonging to the EAPC get the special price reduction mentioned above. You can find a list of associations belonging to the EAPC at: eapcnet.org
(**) Countries of Central and Eastern Europe, former Soviet Union and Developing Countries. For the list of supported countries please click here.
Registration   Early - until
February 28, 2007		 Late - from
March 1, 2007
EAPC Members - physicians(*)
EAPC Members - other professions(*)
Non-members - physicians
Non-members - other professions
Delegates from Eastern Europe and
Developing Countries(**)
Undergraduate students
Accompanying persons  
I'm EAPC Individual Member with Number
I am a member of
(choose the abbreviation of your association)
List of the EAPC Collective Members Associations
HOTELS
Hotel reservation will only be made on receipt of 2 night hotel deposit.
The prices indicated per room, per night including breakfast and all the taxes. Single Room Double Room
Intercontinental Hotel Budapest *****
 
 
Budapest Hilton Hotel ***** Fully Booked Fully Booked
Sofitel Budapest ***** Fully Booked Fully Booked
Corinthia Grand Hotel Royal *****
 
Ramada Budapest ****
Radisson SAS Béke Hotel ****
Mercure Budapest Korona ****
Novotel Budapest Centrum ****
Mercure Budapest Buda **** Fully Booked Fully Booked
Hotel Erzsébet *** Fully Booked Fully Booked
Congress Park Hotel Flamenco ****
Mercure Budapest Metropol ****
City Hotel Mátyás ***
IBIS Budapest Centrum *** Fully Booked Fully Booked
Mercure Budapest Duna *** Fully Booked Fully Booked
Hotel City Inn *** Fully Booked Fully Booked
Hotel Thomas *** Fully Booked Fully Booked
Glória Hotel ***
Corvin Hotel *** Fully Booked Fully Booked
  Single Room Double Room Room
for 3		 Room
for 4
Hotel Swing *** Fully Booked Fully Booked
Youth Hostel Summer Hill Fully Booked Fully Booked
  Number of Nights: ?
Special requests
I will share my room with:
Name
OPTIONAL SOCIAL PROGRAMME AND TOURS
Event Fee Person(s) Amount
Gala Dinner - Friday, June 8, 20.00 - 24.00 € 90 0
Budapest Art Tour - Saturday, June 9, 9.00 - 13.00 € 30 0
Sightseeing Tour - Saturday, June 9, 16.00 - 20.00 € 25 0
Danube Bend tour - Saturday, June 9, 16.00 - 23.00 € 70 0
POST-CONGRESS TOUR
Tour Fee/Person Person(s) Amount
Tour around Lake Balaton - in single room
Saturday - Sunday, June 9 - 10		 € 180 0
Tour around Lake Balaton - in double room
Saturday - Sunday, June 9 - 10		 € 140 0
PAYMENT
Payment Total
Registration fee € 0
Hotel Deposit (2 nights) € 0
Gala Dinner € 0
Optional programmes € 0
Post-Congress Tour € 0
TOTAL € 0
Payments should be made in advance by one of the following methods:
CREDIT CARD  
Please charge Euro
Card Number - - -
Cardholder's name
Billing address of the Cardholder
Expiry date (MM/YY)  
CVC Code (only VISA and EC/MC)
(the last three digits on the back of the credit card where the signature is)
CHEQUE  
Payable to Blaguss Ltd. Congress Bureau
POB 42., 1364 Budapest 4., Hungary
BANK TRANSFER  
Regarding all payments have to be made to:
Account Holder's Name: Blaguss Ltd.
IBAN Number: HU14 1030-0002-2033-4994-7038-3285
Bank: Hungarian Foreign Trade Bank (H-1056 Budapest, Váci u. 38.)
Swift Code: MKKBHUHB
Please indicate "2007/99904" and the name(s) of participant(s)
All charges due to bank transfers have to be paid by the sender.
The name and address of the sender have to be marked clearly on every remittance.
Please send me an invoice in advance: yes no
Please ask for invoice only in case of Bank Transfer - and if you need the invoice in advance to make the payment.
Otherwise you will receive official invoice of your payment (credit card, cash, transfers, cheque) at the registration desk during the congress.
I have read and accepted the cancellation terms as contained in the Second Announcement and official website.