Nederlandse Vereniging voor Calcium- en Botstofwisseling

REGISTRATION
20th ANNUAL MEETING
DUTCH SOCIETY FOR CALCIUM AND BONE METABOLISM

11 and 12 november 2010, Woudschoten, Zeist

First name:

Surname:

Gender:

Female Male

University/Institution:

Department:

Street+number:

Zipcode:

City:

Country:

Telephone number:

Fax number:

E-Mail address:

Member NVCB?

Yes No

(members either attended the NVCB Annual Meeting 2009 and/or paid contribution).

PhD Student?

Yes No

Student?

Yes No

Abstract submitted?

Yes No

All abstracts will be selected for oral presentation. The language will be english. If you do not want to present the data, please indicate here:

Select abstract document:

Prepare abstract similar as the example abstract.

Participates in the meeting on:

	Both 11 and 12 November, inclusive overnight accommodation
	Single room: Yes No
	Double room: Yes No
	When sharing room, name roommate:
	Both 11 and 12 November, without overnight accommodation
	Only 11 November
	Only 12 November, including lunch.

Has dinner on Thursday night (12th November)

Yes No

Special diet?

Yes No

Vegetarian?

Yes No

Registration fee	With overnight accommodation		Without overnight accommodation. without dinner / with dinner
Members	Double room Single room	€ 90^* € 110^*	€ 70 / € 90
Non-members	Double room Single room	€ 110^* € 130^*	€ 90 / € 110
PhD/MSc Students	Double room Single room	€ 60^* € 80^*	€ 45 / € 60

(^*This fee includes coffee, tea, overnight accommodation, breakfast, lunch, dinner, membership)

Your payment needs to be received before November 3, 2010, on the following bank account: 50 25 50 244, of the NVCB, in Leiden (ABNAMRO, Enschede, BIC code ABNANL2A; IBAN code NL40ABNA0502550244). Do not forget to indicate "najaarsvergadering" and "name".

Payment at the meeting is discouraged and costs an additional (extra!) € 35,-

When in doubt about timely payment, please bring your bank account statement with you to the meeting.