Conference registration form - Speakers, chairmen, EMF Working Party, ACSH spokepersons and coordinators
Title
*
Surname
*
First name
*
Company/Organisationy
*
Address
*
Postal Code
*
Town/City
*
Country
*
Phone
(incl. country and area code)
*
E-mail
*
Click here for the hotel you prefer to stay at: (*):
Scandic Hotel Umeå Plaza
Clarion Collection Hotel Uman
No accommodation
Arrival Date
*
Departure Date
*
Single room
Double room
Sharing room with
Social programme
Please indicate if you want to participate:
Monday October 5
Welcome reception, Restaurant Rex
Wednesday October 7
Conference dinner, Restaurant Sävargården
If you require special assistance, diet or anything else, please let us know:
Dietary
Other
Confirmation/Payment/Cancellation
Umeå Congress will send a confirmation letter with information about the hotel accommodation approximately one month before the conference starts. If you have questions concerning the arrangements in Umeå please call 46 90 13 0034 or send a mail to
booking@umea-congress.se
.
