Logistic arrangements - Brain Mets 2023 - US

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

Hôtel Marceau *** - Champs Elysée*

Night of Wednesday, October 4th to 5th (night before the congress)
Night of Thursday, October 5th to 6th
Night of Friday, October 6th to 7th
I don't need accomodation

37 Av. Marceau, 75016 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 2023
15 Bd Grawitz - 13016 Marseille
Or by email to : l.sarafian@comcno.com
We will proceed to your refund by bank transfer within 4 weeks, on a 2 000 € 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, October 4th*

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

Brain Mets Dinner on Thursday, October 5th*

Yes, I would like to participate
Yes, I take part to the congress dinner and I will be accompanied by one person (at your charge)
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.

Comments

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

Logistic arrangements – Brain Mets 2023 – US