2nd International Mediterranean Symposium - Faculty / Logistics arrangements – May 23-24, 2024

Civility*

Dr.
Prof.
Mrs.
Mr.

Family name*

First name*

Email address*

Cell phone number*

Please do not forget to write your country dialling code (+33 ; +49 ; +212 ; etc.)

City*

Country*

Job title*

Affiliated Medical Center*

Accommodation - Golden Tulip Marseille Euromed

Night of May 22nd (22nd to 23rd) - day before the congress)
Night of May 23rd (23rd to 24th)
I don't need accommodation

Golden Tulip Marseille Euromed -
6 Place Henri Verneuil 13002 Marseille
. Single room, breakfast included.
The organizing committee covers a maximum of 2 nights. The extra and added night will be at your charge (payment upon arrival).
If you need a double room, we would be grateful if you coul inform us in the special request tab.

Transport

Yes, please make my travel arrangements
No, I will make my own travel arrangements

Departure country*

Departure city*

Departure date*

Preferences for departure time*

Morning
Afternoon
Evening

Return country (if not departure country)

Return city (if not departure city)

Return date*

Preferences for return time (departure from Nice)*

Morning
Afternoon
Evening

Will you need a checked-in luggage (if flight booking) ?*

Yes
No

Membership card type and number (airline, railroad company...)

Preferred Airline company

Preferred seat

Download your passport or ID Card*

Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Your transportation fees will be refund up to :
o USA :
o Europe :
o France : 250 €
Thank you for sending your receipts and your bank details after the congress to :
Com&Co Events
Bertille Cosentino
15 Bd Grawitz - 13016 Marseille
Or by email to : b.cosentino@comnco.com
If you use your personal vehicle, the allowances of refund will be calculated on a standard kilometers referral.

Special travel requests

Social program

Elbow Dinner (Thursday, May 23rd)

Yes, I take part to the gala dinner
I will be accompagned by one person (at my cost)
No, I do not take part to the gala dinner

Personnal Data Policy

Personal Data*

By sending this form, I agree my personal data being processed regarding my logistics arrangements, and the links with service providers that results of it.

Comments

Ce champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.