METABOLISM&CANCER 2023 - Faculty member : Logistics arrangements – November 22nd-24th - Nice - Copie

Family Name*

First Name*

Cell phone number

Essential to ensure a confortable stay in La Grande Motte.
Please indicate your country ID (+33, +41, +212, etc.)

E-mail

Accommodation

Hotel*

Night of Octobre 7th to 8th (night before congress)
Night of October 8th to 9th
Night of October 9th to 10th
I don't need accommodation

Single room, breakfast included. Any supplement, including double occupancy, is at your expense, to be paid on site. If you have special applications, please fill them out in the box at the bottom of the form.

Transport

Transport*

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

Departure & Return city*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return city (if it is not departure city)

Departure date*

Departure time*

Morning
Afternoon
Evening

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

Download your passport or ID Card*

Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Thank you for sending your receipt and your bank details by email after the congress to : Lilou Ageon, l.ageon@comnco.com
We will proceed to your refund by bank transfer within 4 weeks.

SOCIAL PROGRAM

Gala Dinner - Thursday, October 8th*

Yes, I wish to participate
Yes, I will be accompanied
No, I do not wish to participate

Place to be confirmed.

Miscellaneous

Special Requests

GDPR*

I certify that I am a healthcare professional.

GDPR*

By clicking on 'Send', I confirm that I have read and understood our Privacy Policy and consent to the processing of my personal data by COM&CO EVENTS, in accordance with the said Policy, in order to best respond to my registration request.

I authorize that my personal data be transmitted to the industrial partners participating in the event, for exclusively professional purposes.

Phone

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