X Adriatic Vascular Ultrasound Society Meeting

1. By filling the online form:

Name: *

Last name: *

Institution: *

Address:

City and Zip code:

Country:

E-mail: *

Accompanying person:

2. Please use the registration form and fax or post it to the Congressional Service: fax.no. 00385 - 1 – 38 306 38; Novacon d.o.o., Bartolići 17, 10000 Zagreb

	Before February 1st, 2016	After February 1st, 2016	On Site
Physicians members of Croatian Society of Ultrasound or Slovenian Society of Ultrasound or SIUMB	240,00 Eur	310,00 Eur	360,00 Eur
Residents members of CSUMB, SSUS or SIUMB	170,00 Eur	220,00 Eur	270,00 Eur
Physicians non-members	280,00 Eur	350,00 Eur	400,00 Eur
Residents non-members	220,00 Eur	270,00 Eur	320,00 Eur
Exhibitor fee	100,00 Eur	150,00 Eur	200,00 Eur
Accompanying persons	100,00 Eur	100,00 Eur	100,00 Eur

The Registration Fee includes: Admission to the Basic Training Course and all lectures, hands on scaning, Coffee breaks, Certificate, Welcome reception and
Gala dinner. Accompanying person fee includes: Admission to exhibition area, Welcome reception and Gala dinner. Exhibitor fee includes: Welcome reception, Coffee breaks and Gala dinner

The registration fees must be free of every charges or banking commission.
Specify participant's name and "X AVUS - Lovran " as the purpose of payment.

Inside Croatia :
Bank: Raiffeisenbank Austria d.d., Petrinjska 59, 10000 Zagreb, Croatia
(IBAN), HR8024840081101215562,
in favor of "Novacon d.o.o.", Bartolići 17, 10000 Zagreb, Croatia

Outside Croatia:
Bank: Raiffeisenbank Austria d.d., Petrinjska 59, 10000 Zagreb , Croatia,
Bank account (IBAN): HR8024840081101215562
Swift / BIC: RZBHHR2X
In favour of „Novacon d.o.o.“, Bartolići 17, 10000 Zagreb, Croatia

Please send written proof of payment to the Congress Secretariat, otherwise the entrance to the Symposium will not be allowed.