Speakers - Logistics Arrangements - June 15th to 16th - Nancy-SFEIM 2020

Degree*

Dr.
Prof.
Mr
Mrs

Family name*

First name*

Email address*

Mobile phone number*

Essential to ensure a confortable stay in Nancy.
Please indicate the country ID (+33, +41, +212, etc.)

Congress Workshops (simultaneously)

Monday, June 15th - from 02:30 PM to 04:00 PM. Free registration but compulsory to participate.

*

Workshop 1 : "Réanimation et IEM"
Workshop 2 : "L’omimome, l’exome, le génome…"
Workshop 3 : "Les hypolipidémies"
Workshop 4 : "Quels tests pour un bilan neuropsychologique"
I will not participate to workshops

Accomodation

Mercure Hotel **** Nancy Centre Place Stanislas*

Night of Sunday, June 14th to Monday, June 15th (night before the congress)
Night of Monday, June 15th to Tuesday, June 16th
I don't need accommodation

5 Rue des Carmes, 54000 Nancy
Single room, breakfast included.
The Organizing Committee will take in charge 2 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.

Transport

*

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

Departure & Return city*

Departure & Return country*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return date*

Return time*

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*

Mandatory to book your travel.

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

Congress dinner

The Congress dinner will take place at "Grands Salons de l’hôtel de ville de Nancy", 1 place Stanislas

SFEIM Congress dinner - Monday, June 15th*

Yes, I take part to the gala night (free)
Yes, I take part to the gala night and I will be accompanied by one person (40,00 € VAT included)
No, I do not take part to the Congress dinner

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

Comments

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

Speakers – Logistics Arrangements – June 15th to 16th – Nancy-SFEIM 2020