World Health Congress 2020 Prague >> Registration

WORLD HEALTH CONGRESS 2020 PRAGUE
11th — 13th June 2021
REGISTRATION FORM

APPLICANT INFORMATION - BASIC DATA

Title  First Name*  Last Name*
   
E-mail*  Telephone*  Date of birth*
 
+123 123 456 789
 
DD/MM/YYYY
Residence address*
   
 
Invoicing address (if different from the above)
Name / Company  Company ID
 
Street / City / Postal/Zip code / Country
 
Association, institution, profession:*
 
Represented discipline:*

APPLICANT INFORMATION - EVENT DETAILS

I WILL ATTEND THE EVENT ON*
Friday 11/06 Saturday 12/06 Sunday 13/06
 
I REQUIRE THE HOTEL BOOKING*
yes   no
(Reservation date by the end of April 2021)
 
If interested, choose accommodation
Friday 11/06 | single bedroom | 120,- EUR
Friday 11/06 | shared double bedroom | 60,- EUR
Saturday 12/06 | single bedroom | 120,- EUR
Saturday 12/06 | shared double bedroom | 60,- EUR
 
CONGRESS FEE
Early bird (before 28/02/2021): 100,- EUR
Standard (from 01/03/2021): 135,- EUR
 
CONGRESS FEE INCLUDES:
— Drinks and refreshment during the congress
— Lunch on Saturday and Sunday
— Guided Vltava river cruise and banquet on board
— Congress information
— Congress proceedings in a digital form
— Hard copy of congress proceedings, if required
— Translation support
 
CATERING*
yes   no
 
If interested, choose diet
vegan vegetarian meat
 
ORAL PRESENTATION
I will have my oral presentation:*
yes   no
— up to 10 minutes.
 
BANNER PRESENTATION
I will have my banner presentation:*
yes   no
— to make the media output as efficient as possible we can print your banner (80 x 100 cm) free of charge and put it inside the congress room. Your PDF printing data are to be submitted before 1st May 2020.
Reflecting the current general social way of thinking we consider the presentation of practical results of a therapy application much more important than theoretical detail of how a particular therapy works. Consequently, each presentation is expected to tell the story of a particular person – supported by the evidence as much as possible.
 
CONGRESS PROCEEDINGS - HARD COPY
I wish to receive the printed version*
yes   no
 
PAYMENT DETAILS
Confirmation of participation will be sent together with the invoice within 10 days of the application receipt. While making the bank order to settle the received proforma invoice please insert the first name and surname of the participant in the Payment Reference box of the bank order to enable us to identify the payment properly. As soon as the payment is received we will provide you with the Congress details and news.
 
CANCELLATION AND REFUND POLICY
Notification of cancellation received 45 day before the first day of the Congress: 70% of the fee will be refunded.
Notification of cancellation received 25 day before the first day of the Congress: 30% of the fee will be refunded.
Notification of cancellation received 15 day and less before the first day of the Congress: no fee will be refunded.

If a registered participant is not able to attend the Congress, an alternate person can overtake the registration, however, after the phone of e-mail prenotice (info of the represented institution, details of the new participant – title, name, surname, e-mail, phone).

The organizer reserves the right to change the Congress programme in urgent cases.
The video and sound recording as well as photos will be provided by the organizer to be used for later promotion and support of the Congress.

Please get the proof of payment ready at the attendance registration desk, if needed.

Your personal data are processed in accordance with the applicable law and used solely for the purpose of the above-mentioned event.
 
Notes

Before submitting please read the Privacy Policy HERE

Based on this application you will be notified of further information, including the call for abstracts.
Participation at the Congress will allow you to obtain access credentials to PLATFORM 2020 PRAGUE, where you will have the opportunity to create a space for your field or organization, and to publish significant information.
If you were interested in joining the Platform but were unable to participate at the Congress, please contact us at info@whc2020prague.com for more information.