ML CTO 2024 - TRANSPORTATION ACADEMY - June 27th & 29th

Family name*

First name*

E-mail adress*

Cell phone number*

Cell phone number (only) Please indicate in front of your phone number, the country dialling code of your country.

INFORMATION ABOUT YOUR LOGISTIC ARRANGEMENTS

The ML CTO Academy grants cover :
– Workshop registration fees
– Accommodation for 3 nights (from Tuesday, June 25th to Friday, June 28th)
– Participation in the Pre-courses of the ML CTO congress (compulsory attendance)
– Registration fees for the ML CTO Congress.

ACCOMMODATION

For the Guidewires & Microcatheters workshop, your grant covers accommodation for the nights of Tuesday, June 25th to Friday, June 28th.
If you wish to stay an extra night on Friday June 28th, you will be charged for the extra night.

I would like a hotel accommodation for the following nights

Tuesday, June 25th (the day before the workshop)
Wednesday, June 26th
Thursday, June 27th

I would like an extra night (at my expense) for Friday June, 28th

Yes
No

TRANSPORT

Airport and/or station tranfers will be handled by the organization. You will receive detailed information in your travel book few days before your departure by email.

Your flight will be in economic class, if you wish to travel in business class, it will be to your own charge.

Do you need a transportation booking?*

Yes
No

Departure city*

Departure date*

Departure time*

Morning
Afternoon
Evening

Return city (if it is not departure city)

Return date*

Return time*

Morning
Afternoon
Evening

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

Preferred Airline company

Upload your passport or ID Card*

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

Essential to book your travel. Thanks.

Special travel requests (aisle, window...)

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