WELCOME to the 9th Global Forum on Humanitarian Medicine
Geneva, June 27-29, 2013		  
 
Please fill in your personal details in the form and choose one of the alternatives in the following demographic questions.
 
 
Personal Informations
 
 
Family Name*:  
First Name*:  
Hospital/Institution*:  
Department:  
P.O. Box/Street Address*:  
City or State*:  
Post code/Zip*: Only numbers.
Country*:  
Phone Number*: Only numbers. Ex: 00415554545
Email*: The confirmation will be sent to this email address
 
Registration Fees 9th GFHM
Early Bird by March 15, 2013
CHF 150.00		 From March 16 – May 31, 2013
CHF 165.00		 From June 1, 2013
CHF 180.00
 
Registration Fee includes: access to the Scientific Sessions, the Industry Exhibits, Congress Documents, Certificate of Attendance, Congress Bag, Badge, Congress Book, Breaks June 27-28-29, Welcome Reception, Concert at Château de Penthes June 27 and VAT.
 
     
     
Please select a hotel from the list below, or check the "I do not require accommodation" box.
 
 
Accommodation
I do not require accommodation
 
 
Check-in date Check-out date
Day: Month: Day: Month:
   
Hotel Intercontinental ***** « sold-out »
Single Room CHF 400.00
Twin/Double Room CHF 450.00
 
 
Hotel Longemalle *** « sold-out »
Single Room CHF 295.00
Twin/Double Room CHF 315.00
 
 
Hotel Calvy *** « sold-out »
Single Room CHF 160.00
Twin/Double Room CHF 190.00
 
 
Hotel Cenacle ** « sold-out »
Single Room CHF 115.00
Twin/Double Room CHF 205.00
 
 
Hotel St. Gervais * « sold-out »
Single / Double Room CHF 109.00
 
     
 
     
Sharing room with (optional) :
Family Name:
First Name:
     
Pre-& Post Tours
City tour of Geneva from CHF 45.- More information
Geneva City Tour and Boat Cruise from CHF 60.-: More information
Excursion Geneva: Chamonix – Mont-Blanc from CHF 111.-: More information
Excursions Geneva: Gruyères – Golden from 208.-: More information
     
Change of Booking
Any change to a reservation must be notified to GJS Communications, and not directly to the hotel. The changes should be made in writing and are subject to a handling fee of CHF 5.00.
     
Privacy Notice

You will be receiving confirmation of your Registration to the 9th GFHM and Hotel Reservation. You are kindly requested to settle the total amount via Bank Transfer within 14 days after receipt of the invoice drafted for:

9th GFHM

Account holder:

GJS Communications, Sàrl, 1211 Geneva, 1 Switzerland Crédit Suisse 1211 Genève 70
Account No: 475585-51
Clearing No 4835
BIC CRESCHZZ12A
CH55 0483 5047 5585 5100 0

Hotel Accommodation can only be guaranteed when the total payment was received.

Credit Cards are not accepted.

Above quoted rates are in CHF.

 

Cancellation policy - Registration / Hotel Accommodation

Cancellations received until April 30, 2013 will be fully refunded, less CHF 5.00 handling Fees.

Cancellations received between May 1st and May 31st 2013 - 50% will be refunded

Cancellations received later than May 31st 2013- no refund

 

I agree with the conditions as outlined above:

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