On-line Registration - step 1

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 the changes to the Congress Secretariat: csbmb2021@cbttravel.cz
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The discounted fee for members of ČSBMB and SSBMB is based on the condition that the payment of membership fee for 2021 is effected by JUNE 30, 2021.

 

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I. Personal details

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+ required (+420 123456789)

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II. Registration fees

 

required Early bird registration fee before July 20, 2021Late registration fee from July 21, 2021 until August 23, 2001payment
Registration
ČSBMB/SSBMB member5 200  CZK / 210 EUR5 700  CZK / 230 EUR CZK
Non member5 700  CZK / 230 EUR6 200  CZK / 250 EUR CZK
Students (ISIC card, ≤30 years)4 700  CZK / 190 EUR5 200  CZK / 210 EUR CZK
Plenary speaker0  CZK0  CZK CZK

One day fee (only for non-presenters):

August 29, 20213200 CZK / 130 EUR4200 CZK / 170 EUR CZK
August 30, 20213200 CZK / 130 EUR4200 CZK / 170 EUR CZK
August 31, 20213200 CZK / 130 EUR4200 CZK / 170 EUR CZK
September 1, 20213200 CZK / 130 EUR4200 CZK / 170 EUR CZK

Lunch:

August 30, 2021100 CZK100 CZK CZK
pers. × 100 CZK
August 31, 2021100 CZK100 CZK CZK
pers. × 100 CZK
September 1, 2021100 CZK100 CZK CZK
pers. × 100 CZK

Full registration fee includes:

  • Admission to all scientific sessions on the respective day
  • Entrance to poster & exhibition area
  • Coffee and tea service during intermissions
  • Name badge, programme and abstract book
  • Congress bag
  • Invitation to Welcome Reception and Historical lecture, theatre ticket for “Elegance Molekuly“ performance not included, It is necessary to order and pay for it separately (on the first come first served basis)
  • Certificate of attendance

The day registration fee includes, for the day of registration only:

  • One day fee is available only for participants without having a poster or short oral presentation
  • Admission to all scientific sessions
  • Entrance to poster & exhibition area
  • Coffee and tea service during intermissions
  • Name badge
  • Certificate of attendance

Student Registration fee includes:

To be able to apply for student registration fee please send a copy of your ISIC card to kholodkova@cbttravel.cz.

  • Admission to all scientific sessions
  • Entrance to poster & exhibition area
  • Coffee and tea service during intermissions
  • Name badge, programme and abstract book
  • Congress bag
  • Invitation to Welcome Reception and Historical lecture, theatre ticket for “Elegance Molekuly“ performance is not included, It is necessary to order and pay for it separately (on first come first served basis)
  • Certificate of attendance

 

  before
July 20, 2021
after
July 20, 2021
payment
Theatre performance „Elegance Molekuly“ on August 31, 2021 (Optional)
Theatre performance550 CZKWithin possibilities left, if any CZK
pers. × 550 CZK
Total CZK

III. Payment

  • Credit card required


    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 CZK

    The Symposium Secretariat will charge your credit card with a deposit equal to one (1) night of your entire accommodation. Seventy (70) days prior to the event, you will be charged your full stay to the credit card less the one (1) nights’ deposit. Room reservations will be confirmed once the Symposium Secretariat has received your completed reservation request with a valid credit card number.

    According to the Czech law, credit cards will be charged in local currency / Czech Crowns (CZK)
    according to the actual exchange rate of the Czech National Bank.








    *) Supposing the card holder name and the name of a participant are different, the Symposium Secretariat might require card holder approval. Please fill in all the required entries. For further detail, please contact the Symposium Secretariat. The Secretariat will send you a special form to be approved.

    **) CVC2 (MasterCard/EuroCard) or CVV2 (American Express, Visa) code is printed on the back side of your credit card in the signature label (last 3 digits).

  • Bank transfer required

    Bank nameCeska sporitelna
    Bank addressRytířská 29, 110 00 Praha 1
    Account number1942073339
    Bank code0800
    Account nameCongress Business Travel
    IBANCZ63 0800 0000 0019 4207 3339
    SWIFT/BICGIBA CZ PX
    Payment details Symposium variable symbol: 612 + participant´s name (612 John Smith)

    Please note that all bank charges should be fully covered by the participant.
    A copy of the bank transfer sheet should be sent by fax or mail to the Symposium Secretariat – fax: +420 224 942 550, e-mail: csbmb2021@cbttravel.cz.

IV. Payer

  I request a proforma invoice on my name

 

Different payer or invoice


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Invoice address
Mailing address

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V. Notes

Please write your requirements (not guaranteed)

VI. I agree with the use of my personal data

I agree with the use of my personal data by the company Congress Business Travel spol., s r.o., in accordance with the Czech Personal Information Protection Act 101/2000 Sb. The data will be used solely for the purposes of this symposium; giving consent is a necessary condition of your registration.

VII. Cancellations and refunds

The Organizing Secretariat must be notified in writing by e-mail to csbmb2021@cbttravel.cz or fax (+420 224 942 550) about the cancellation of the registration.

Telephone cancellation will not be accepted. The appropriate refunds will be made after the Congress.

 

The following cancellation conditions apply:

If the participant cancels his / her participation in writing by June 30 , 2021 the Congress Secretariat will refund 80% of the amount paid.
Unfortunately, it is not possible to make any refunds after this date, but we will send all the congress materials to the participant's address.

Tax invoices

  • All fees are quoted in CZK and include VAT.