SWISS CTO SUMMIT - Grant - Logistic arrangements

Civility*

Dr.
Prof.
Mrs.
Mr.

Family name*

First name*

Email address*

Cell phone number*

Please do not forget to write your country dialling code (+33 ; +49 ; +212 ; etc.)

Affiliated Medical Center*

City*

Country*

CHIPSTAR Course program

This program will be held on Wednesday, September 4th. Registration for the CHIPSTAR Course program is free! For organizational reasons, please specify if you wish to participate.

Would you like to take part in the CHIPSTAR course?*

Yes, I would like
No, thank you

Accommodation

Night of September 4th (September 4th to 5th, day before the congress)
Night of September 5th (September 5th to 6th)
I don't need an accommodation

Single room, breakfast included. The organizing committee covers a maximum of 2 nights. The extra and added night will be at your own expenses (payment upon arrival).
If you need a double room, we would be grateful if you could inform us promptly at summit-swissctochip@comnco.com

Hotel details will be sent to you shortly.

Transport

Airport transfers will be handled by the organization. If you wish for a specific transfer service, we invite you to contact a taxi transfer agency in order to proceed with the payment directly.

You will receive detailed information few days before your departure within your road book. If you wish to make your own travel arrangements, please make sure to let us know your travel details.

Yes, please make my travel arrangements
No, I will make my own travel arrangements

Departure country*

Departure city*

Departure date*

Preferences for departure time*

Morning
Afternoon
Evening

Return country (if not departure country)

Return city (if not departure city)

Return date*

Preferences for return time (departure from Nice)*

Morning
Afternoon
Evening

Will you need a checked-in luggage (if flight booking) ?*

Yes
No

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

Preferred Airline company

Preferred seat

Download your passport or ID Card*

Taille max. des fichiers : 128 MB.

Essential to book your travel. Thanks.

Thank you for sending your receipts and your bank details after the congress to :
Com&Co Events
15 Bd Grawitz - 13016 Marseille
Or by email to : secretary@mlcto.com

We will proceed to your refund by bank transfer within 4 weeks after the conference.
If you use your personal vehicle, the allowances of refund will be calculated on a standard kilometers referral.

Special travel requests

Social program

Would you like to participate to the Swiss CTO & CHIP Summit dinner*

Yes, I would like
No, thank you

The Swiss CTO & CHIP Summit dinner will take place on September 5th at the WERK 8 restaurant.

Personnal Data Policy

Personal Data*

By sending this form, I agree my personal data being processed regarding my logistics arrangements, and the links with service providers that results of it.

Name

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