Registration Form - Allergy School on Aerobiology and Pollution

15 - 17 March 2018, Dubrovnik, Croatia


Personal Data

Please use Title Case when filling in the form (i.e. Smith).
Please use English Alphabet only (do not use special international characters).

First Name
Last Name
Year of birth (yyyy)
Address
Postal code
City or State
Phone Number (include Country Code)
Mobile Phone Number (include Country Code)
E-Mail
Re-confirm E-Mail


*If you are an EAACI member and you change any personal data above (e.g. your address), please note that this will be updated automatically into your EAACI membership profile.


Professional Details

Your answers to the following questions will help us in preparing scientific programmes for future events.


Letter of Invitation

Please click below if you require a letter of invitation for visa purposes.

Please note that the Letter of Invitation will be sent to you after EAACI has received your full payment for the meeting registration. EAACI may ask you to provide some additional documents (Copy of passport, contact details of the institution you work for, etc.) before issuing the Letter of Invitation.


Accommodation

I would like to share the room with
(if you have no preference, room allocation will be done by EAACI Headquarters)

Accommodation opt-out

I do not wish to use the shared twin room accommodation included in the registration package and will take care of my own accommodation booking and payment.



If you select the accommodation opt-out version, the amount of EUR 80.00 will be deducted from your registration fee. Please note, that if you have selected this option, EAACI will not be responsible for the booking or payment of your accommodation.

Should you change your mind and require shared accommodation after registration, EAACI cannot guarantee availability.

The registration package includes accommodation in a shared twin room (2 nights, from 15 – 17 March 2018) (if you select the accommodation opt-out version, NO accommodation will be booked for you) and meals during the Allergy School. For any additional nights or individual bookings, please contact the Hotel Valamar Lacroma Dubrovnik directly at +385 52 465 000 or reservations@valamar.com. For any other questions regarding your accommodation, please contact EAACI Headquarters.


Dietary Requirements

Please indicate below if you have any special Dietary Requirements (Vegetarian, etc.).
Dietary Requirements

Registration Fees

Please choose your registration category (if you are an EAACI Member you will be able to choose your registration category after entering your Member Number and Password at the beginning of this registration).


Payment of Registration Fee
Please note that if you are an EAACI Member, your membership must be fully paid up in order to benefit from the reduced registration fee.
If you have not paid your EAACI membership fee for this year yet, please login to the Members Area on www.eaaci.org.

IMPORTANT

Please note that we only accept Credit Card payments.

It is possible to pay by Visa or Mastercard. You may be asked by the issuer of your card to enter a password to verify that the transaction is authorised by the card owner before completion of the payment process (3-D Secure technology).

Terms & Conditions - Click Here.


Total Ammount (EUR):


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