Logistic arrangements - Brain Mets 2021 - USA/ASIA

Title*

Dr.
Prof.
Mr.
Mrs.

Last name*

First name*

Mobile phone number*

Essential to ensure a confortable stay in Paris.
Please do not forget to write your country ID(+33 ; +49 ; +212 ; etc.)

Email address*

ACCOMMODATION

Warwick Hotel **** Paris Champs-Élysées*

Night of Tuesday, September 28th to 29th (night before the congress)
Night of Wednesday, September 29th to 30th
Night of Thursday, September 30th to October 1st
Night of Friday, October 1st to 2nd
I don't need accomodation

5 Rue de Berri, 75008 Paris
Single room, breakfast included.
The Organizing Committee will take in charge 3 nights maximum.
All other extras (double room, extra night, minibar, etc.) has to be paid by yourself at the hotel reception desk. Please fill in the "Miscellaneous" box at the bottom of the page.

TRAVEL

Yes, I would like you to make my travel arrangements
No, I will make my own travel arrangements

Departure country*

Departure city*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return country

Return city (if it is not departure city)

Return date*

Return time from Paris*

Morning
Afternoon
Evening

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

Yes, please
No, thank you

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

Upload your passport or ID Card*

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

Mandatory to book your travel. Thanks.

Thank you for sending your receipts and your bank details after the congress to :
Com & Co
Brain Mets 2020
15 Bd Grawitz - 13016 Marseille
Or by email to : e.jarry@comnco.com
We will proceed to your refund by bank transfer within 4 weeks, on a 1500,00 dollars basis. If you use a vehicle, the allowances of refund will be calculated on a "Mappy" basis, from the congress venue to the Warwick Hotel, the airport, or the train station.

SOCIAL PROGRAM

Buffet networking dinner on Wednesday, September 29th*

Yes, I would like to participate
No, I don't want to participate

Brain Mets Dinner on Thursday, September 30th*

Yes, I would like to participate
Yes, I take part to the congress dinner and I will be accompanied by one person (60,00 € VAT included)
No, I don't want to participate

Miscellaneous

Special requests

Personal data*

By sending this form, I agree that my personal data might be used for the purposes of my logistic arrangements by the company or any service providers that may need it.

Phone

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

Logistic arrangements – Brain Mets 2021 – USA/ASIA