Registration Form

All Prices in Euros
Doctors Super saver
to
30 April 2017 		Early Bird
to
30 June 2017 		Standard
from
1 July 2017
1, 2 €350 €400 €450
Day delegate 1                     €180 €220 €260
Pre-Conference Workshop 1
Wednesday 20 September		       
      
€180 €220 €260
Midwives, ultrasonographers and other professionals
1, 2 €240 €270 €300
Day delegate 1                     €120 €140 €160
Pre-Conference Workshop 1
Wednesday 20 September		       
      
 €120 €140 €160

1 Includes lunch and refreshment breaks  2 Includes Welcome Reception and Gala Dinner



Additional tickets - accompanying persons Cost Number required
Welcome reception Wednesday 20 September €30
Gala Dinner Thursday 21 September €60

Your Details

Title Address line 1
   
First name Address line 2
   
Surname Address line 3
 
Email City

 
Gender Postcode
   
Speciality/job title Country
   
Institution Contact No.
   

Additional Comments (e.g. dietary requirements):


Preferred payment method

  

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