Personal data
(Fields indicated as required have to be filled in.)

Registration data






CZK (= EUR)
CZK (= EUR)

Registration fees include: access to all scientific sessions and exhibition, congress materials (printed program and book of abstracts), refreshments during coffee breaks and opening ceremony, and VAT.

Optional
CZK (= EUR)
Accompanying programs
CZK (= EUR)
Accommodation

Accommodation

Kapacita ubytování již byla naplněna.

. 2018
. 2018
CZK (= EUR)

The room price includes one night in a single or double room, breakfast and VAT
Hotel assignment will be made on a first-come, first-serve basis.
Room reservations cannot be made without advance payment. The hotel voucher will be mailed to you upon receipt of payment.

Cancellation policy
Cancellation dateuntil January 15, 2018 January 16 - February 28, 2018 from March 1, 2018
Registration free 20% N.A.
Accommodation free 1 night deposit N.A.

Cancellation request will be accepted only by e-mail sent to amca@amca.cz with a reference to ESVM 2018 / your registration ID.




Payment
MasterCard Maestro VISA VISA Electron MasterCard SecureCode Verified by VISA

Internet payment may be made after submitting your registration.
On-line credit card payments over the internet are secured by 3D SECURE.

25.77 CZK / 1 EUR
Bank: Fio banka, a.s., V Celnici 10, 117 21 Prague 1, Czech Republic
Account Name: AMCA, spol. s r.o.
Account Number: 2001055491/2010
IBAN: CZ37 2010 0000 0020 0105 5491
BIC: FIOBCZPPXXX
Details of payment: Please enter the registration number you will receive in the e-mail confirmation of your registration
N.B. Please note that all direct bank transfer charges must be covered by the participant. Please forward a copy of your bank transfer order to the address of the secretariat.

0 CZK (= EUR)
ANTISPAM PROTECTION

Type only the black letters below.

By submitting this form I agree to the use of my personal information by the company AMCA, spol. s r.o. in accordance with the Czech Personal Information Protection Act 101/2000.