Registration - step 1 | 8th Prague-Weizmann Summer School ADVANCES IN DRUG DISCOVERY

Previous conferences – here

Sponsors:

Project TE01020028 / Center for Development of Original Drugs is realized with financial support from the Technology Agency of the Czech Republic (TA ČR).

FIRST ANNOUNCEMENT:

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Organizing OFFICE:

Congress Business Travel spol. s r.o.
Lidická 43/66, 150 00 Praha 5 - Anděl

Phone:	+420 224 942 575 +420 224 942 579
Fax:	+420 224 942 550
E-mail:	praguesummerschool@cbttravel.cz
	@prague_school

On-line Registration

Please check the contents of this form carefully as you will not be able to make modifications after submission. If it is necessary to change any information after submission, please e-mail or a fax the changes to the Organizing Secretariat: praguesummerschool@cbttravel.cz; fax: +420-224 942 550.

For your convenience the system will remember your personal data. The system will forget your personal data if you close this window or stay on this page for more than 30 minutes without submitting.

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I. Personal Details

Title, First name

Family name, Title

Affiliation

Address

City

ZIP code

Phone+ (123456789)

Fax+ (recommended)

E-mail

II. Registration

	Early bird before and on July 17, 2022	Regular after July 18, 2022	payment
Regular participation with accommodation (5 nights)	330 EUR	380 EUR	EUR
Participation only (no accommodation)	230 EUR	280 EUR	EUR
Invited speaker	0 EUR	0 EUR	EUR

Total

Total			EUR

Registration fee includes:
Regular fee:

Admission to the scientific programme
Accommodation for 5 nights (September 4 – 9).
at Masaryk Dormitory / in a double room
Conference materials
Coffee breaks, lunches
Welcome party
Guided tour with dinner

I would like to present a poster

Deadline to sent your abstract is June 30, 2022.

III. Accommodation

I require additional accommodation for the dates:

IV. Payment Instructions

Credit card

If you enter an incorrect credit card number, or if your credit card is not authorised for another reason, the registration process will be cancelled automatically.

I authorize Congress Business Travel Ltd. (Lidicka 43/66, 150 00 Prague 5, Czech Republic, VAT number: CZ26424053) to charge my credit card for the payment of EUR:
+ % administration fees =

Card type
Card holder's name*
Card No.
Expiry date (mm/yy)
CVV/CVC code (last 3 digits)**
Billing address (AMEX)

*) In case the name of cardholder and name of registered delegate is different, Conference Secretariat has the right to ask cardholder for approval. Please fill in here all requested details.
**) CVC2 (MasterCard/EuroCard) or CVV2 (American Express, Visa, Diners) code is printed on the reverse side of your credit card on the signature panel, (last three digits).

Bank transfer

Bank name	Ceska sporitelna
Bank address	Vaclavske namesti 16, Prague 1, Czech Republic, 110 00
Account number	1942073339
Bank code	0800
Account name	Congress Business Travel
IBAN No.	CZ63 0800 0000 0019 4207 3339
SWIFT/BIC	GIBA CZ PX
Payment details	participant's full name / 705 (e.g. John Smith/111) (if it is impossible to include the name on the bank transfer kindly mark "705" only)

V. Billing Details

In case you need to issue an invoice or if someone else is paying your registration fee, please, tick the following box.

If you require pro-forma invoice, please state it in the VI. Notes section.

I request a proforma invoice on my name

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Organization name

Invoice address
Address

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Contact person

Phone+ (+420 123456789)