Cryo2019

Personal Information

* Title

* Surname

* First Name

* City

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* Mobile

* Email Address

* Specialty

Meeting Registration

For additional information regarding registration and accommodation fees please click on the "price list" buttom

Participation in the conference

Member of the International Society of Cryosurgery - Includes participation in the sessions (2 days), coffee breaks, lunches and Cocktail Reception on Sep. 4 - 300 $Non Member of the International Society of Cryosurgery - Includes participation in the sessions (2 days), coffee breaks, lunches and Cocktail Reception on Sep. 4- 360$Student / Resident Registration - Includes participation in the sessions (2 days), coffee breaks, lunches and Cocktail Reception on Sep. 4 - 160 $Spouse Participation - Includes Cocktail Reception on Sep. 4 - 50 $

Early registration fee – until August 15, 2019

Gala Dinner - September 5 - 90 $

One ticket to the Gala Dinner Two tickets to the Gala Dinner

Abstract publication at the Cryobiology Journal (relevant only to those whom their abstract was accepted to the scientific program) - 18$

International Society of Cryosurgery Member Fee for 2019 – 50$

Members of the International Society of Cryosurgery should pay the members fee for 2019

Hotels & Accommodation

Special rates for the congress attendees

* Hotels

Bed & Breakfast Basis.

Dan Carmel Hotel - Select nights

03.09.201904.09.201905.09.2019

* Dan Carmel Hotel - Room type (03.09.19)

* Dan Carmel Hotel - Room type (04.09.19)

* Dan Carmel Hotel - Room type (05.09.19)

Dan Panorama Hotel- Select nights

03.09.201904.09.201905.09.2019

* Dan Panorama Hotel- Room type (03.09.19)

* Dan Panorama Hotel- Room type (04.09.19)

* Dan Panorama Hotel- Room type (05.09.19)

* Sharing name

Pre / Post congress tours

Tour to Jerusalem includes:

English speaking guide
Refreshments
Light lunch
Pick up from the Dan Carmel and Dan Panorama Hotels in Haifa
The rates are based on 20 participants minimum

Tour to Galilee includes:

English speaking guide
Refreshments
Light lunch
Pick up from the Dan Carmel and Dan Panorama Hotels in Haifa
The rates are based on 20 participants minimum

Day tour to Jerusalem – 02.09 2019 – 130 $Day tour to the Galilee – 03.09.2019 – 110 $

Number of participants- Jerusalem

Number of participants- Galilee

In completing this form, you agree that Hochman & Shechter Production will give your name to the hotel and tour operators (if you choose either option), and conference tag supplier. We will make no other use of your personal details

Payment

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After submitting the form you will be redirected to a secure website to perform the transaction. Only after doing so will your registration be completed.

Invoice/Receipt Information

* Email address for invoice/receipt

* Name for invoice/receipt

* Institute Name

* Institute Number

* Institute's accounting contact

* Institute's accounting phone

* Institute's billing address

* I agree to make a bank transfer of the aforementioned amount

After submitting the form you will be redirected to PayPal to confirm the transaction. Only after doing so will your registration be completed.

Invitation code

In order to verify that you were invited, please fill in the code you recieved when invited

Cryo2019

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