Speakers Logistic Arrangements – PELVIC HEALTH 2020 Speakers Logistic Arrangements – PELVIC HEALTH 2020 https://form.comnco.net/wp-content/uploads/2020/07/PH-2020-SIGNATURE-MAIL.jpg 520 100 Com&Guest Com&Guest https://form.comnco.net/wp-content/uploads/2020/07/PH-2020-SIGNATURE-MAIL.jpg 7 juillet 2020 7 juillet 2020 Speakers Logistic Arrangements - PELVIC HEALTH 2020 Thank you to fill out this form wihin 15 days Last name*First name*Cell phone number*Please do not forget to write your country dialling code (+33 ; +49 ; +212 ; etc.)Email address*AccomodationHotel *** Novotel Monte-Carlo* Night from Wednesday 2nd to Thursday 3rd (night before the congress) Night from Thursday 3rd to Friday 4th I do not need accommodation Single room, breakfast included. All the extras (night, mini-bar, etc...) will be at your charge and has to be paid upon arrival. If you need a double room, please keep us informed in the last part of this form "Special requests". If you need to extend your stay, please contact directly the hotel : Novotel Monte-Carlo 16 Bld Princesse Charlotte 98000 Monte Carlo Monaco Tel. : +37799998300 Transport*Yes, I would like you to make my travel arrangementsNo, I will make my own travel arrangements* A shuttle bus - displaying a PELVIC HEALTH sign - will be at your disposal at the Nice airport. Departure city*Departure date*Departure time*MorningAfternoonNightReturn city (If different form the departure city)Return date*Return time (from Monaco)*MorningAfternoonNightWill you need a checked luggage? (If flight booking)*Yes, pleaseNo, thank youMembership card and number (airline, railroad company...etc)Identity card or Passport*Please upload a copy of your passport or identity card, essential for a flight.Thank you for sending your receipts and your bank details after the congress to : Com & CoPELVIC HEALTH 202015 Bd Grawitz - 13016 MarseilleOr by email to : email@example.comWe will proceed to your refund by bank transfer within 4 weeks, on a 250 € basis for Europe. If you use your vehicle, the allowances of refund will be calculated on a "Mappy" basis.Social programmesCongress Lunches* Lunch of Thursday December 3rd Lunch of Friday December 4th No, I will not need lunch Congress dinner - Thursday December 3rd*Yes, I take part to the congress dinnerYes, I take part to the congress dinner and I will be accompanied by one personNo, I will not take part to the congress dinnerSpecial requestsSpecial requestsPersonal 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 NameCe champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.