ECC 2024 - Logistic arrangement - Faculty - June 5th, 6th & 7th 2024

Family name*

First name*

E-mail address*

Cell phone number*

Cell phone number (only) Please indicate in front of your phone number, the country dialling code of your country.

Position*

Affiliated Medical Center*

City*

Country*

ACCOMMODATION

Night of June 5th (5th to 6th)
Night of June 6th (6th to 7th)
I don't need accommodation

Single room, breakfast included. The organizing committee covers a maximum of 2 nights. The extra and added night will be at your own expenses (payment upon arrival). If you need a double room, we would be grateful if you could inform us promptly at organization@ecc-congress.com Hotel details will be sent to you shortly.

Special accommodation requests

TRANSPORT

Do you need a transportation booking?*

Yes
No

Departure city*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return city (if it is not departure city)

Return date*

Return time*

Morning
Afternoon
Evening

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

Preferred Airline company

Upload your passport or ID Card*

Types de fichiers acceptés : jpeg, jpg, png, pdf, gif, Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Special travel requests (aisle, window...)

Thank you for sending your receipts and your bank details after the congress to :
organization@ecc-congress.com

We will reimburse you up to 700€ by bank transfer within 4 weeks after the conference . If you use your personal vehicle, the allowances of refund will be calculated on a standard kilometers referral.

Personal 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.

Phone

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