ESH SUMMER SCHOOL 2024 - Faculty member : logistics arrangements – September 15th to 20th

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.)

Affiliated Medical Center*

City*

Country*

Accommodation

Night of September 15th to 16th
Night of September 16th to 17th
Night of September 17th to 18th
Night of September 18th to 19th
Night of September 19th to 20th
I don't need accommodation

Single room, all inclusive. Please select the nights according to your commitments.

Transport

I take a plane or a train
I come by car

If you come by car the allowances of refund will be calculated on a standard kilometers referral. Thank you for sending your receipts and your bank details after the congress to :
m.houtmann@comnco.com

We will proceed to your refund by bank transfer within 4 weeks after the conference

Airport transfers will be handled by the organization. You will receive detailed information few days before your departure within your road book.

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.

Special travel requests

Social Programs

Various social programs will be organized during the ESH Summer School week. Depending on your presence, you will be registered.

I want to participate to the ESH Summer School Run (Tuesday, September 17 from 7am to 7:45am)*

Yes
No

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.

Name

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