SEUD 2025 - Forum US | Com&Co Form

Family name*

First name*

E-mail*

Cell phone number*

Accommodation

Do you need accommodation?*

Yes
No

Hotel*

Night of June 19th (night before the forum)
Night of June 20th

Single room, breakfast included. The organizing committee covers a maximum of 2 nights. The extra and added night will be charged to you (and has to be paid upon arrival). If you need something special, please keep us informed in the last part of this form "Special requests".

Transport

A driver will be waiting for you upon your arrival at the airport to take you to the hotel.

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

Departure city*

Departure date*

Departure time*

: Hours

Minutes

Return city (if it is not departure city)

Return date*

Return time*

: Hours

Minutes

Do you need a checked luggage ?*

Yes
No

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

Download your passport*

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

Essential to book your travel. Thanks.

Thank you for sending your receipts, your mailing address and your bank details after the forum by email to : l.passedat@comnco.com
We will proceed to your refund by bank transfer within 4 weeks, on a 1200€ basis for US citizens and on a 5 500€ basis for europeans to cover your expenses.

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.

Name

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