Logistics arrangements LEUKEMIA 2025 – November 13th Logistics arrangements LEUKEMIA 2025 – November 13th https://form.comnco.net/wp-content/themes/movedo/images/empty/thumbnail.jpg 150 150 Com&Co Form Com&Co Form 19 août 2025 19 août 2025 LOGISTICS ARRANGEMENTS Logistic arrangements - LEUKEMIA 360 Thank you in advance for answering. 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*Affiliated Medical Center*Postal Address*ZIP Code*City*Country*ACCOMMODATIONHôtel Ibis Style - Paris Bercy* Night of Thursday, November 13th to 14th I don't need accomodation 77 Route de Bercy - 75008 Paris, France Single room, breakfast included. The Organizing Committee will take in charge 1 night 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. SOCIAL PROGRAMLeukemia Gala Dinner on Thursday, November 13th* 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 "Do you have any allergies or specific dietary restrictions?"* Yes No Please specify your dietary restrictions:*Communication supportPhoto*Taille max. des fichiers : 128 MB.Please send us a professional photo. This photo will be used as part of our communication campaign on Leukemia social networks and in on-site communication media.MiscellaneousSpecial requestPersonal 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. EmailCe champ n’est utilisé qu’à des fins de validation et devrait rester inchangé. Δ CONTACTRegistration a.boulbahri@comnco.com 3 Rue St Adélaide 13004 Marseille
