AIC - AIC ASTI INCENTIVES & CONGRESSI srl Registration and Hotel Accommodation info »

At least one author of accepted paper or poster must be registered for the conference.

The Conference fee includes: Admission to the Scientific Sessions, Congress Kit, Coffee Breaks and Lunches as scheduled, Buffet Dinner on 31^st May and Certificate of Attendance

CME credits will be assigned according to the Italian Health Ministry’s criteria. CME credits will only be awared to Italian Medical Doctors who attend the entire conference.

The registration system can be accessed with the link below. Please, check carefully all registration requirements and payment terms and conditions.

HEPATOLOGY 2018

Conference Registration

PERSONAL DATA

Last Name*

First Name*

Address*

Postal Code*

Town*

Country*

Vat Number / Tax Code (SSN/SIN)*

C.F. (Fiscal code for Italian participant)*

Phone*

Fax

Email address*

You need an invoice addressed to a different subject?

Yes

if you need an invoice addressed to a different subject (department, university or other institution) please check "Yes" and fill in the following section

INVOICE DETAIL

Company Name*

Company Address*

Company Postal Code*

Company Town*

Company Country*

Company Vat Number / Tax Code (SSN/SIN)*

Company Vat number

REGISTRATION FEE

Registration*

Full registration € 500,00 after March 16th, 2018

Young Researcher Under 40 FREE

Members of Epatologi della Toscana Association FREE

Payments are processed through credit card.

METHOD OF PAYMENT

Method*

VISA

MASTERCARD

Card Number*

Exp. Date*

insert month and year expiration date

CVV Code*

CVV code: last 3 numbers behind your credit card

Cardholder*

Bank Trasfer

For all details of bank transfer please contact hepatology2018@aicgroup.it

Authorization*

Yes

I hereby authorize A.I.C srl to the treatment of my personal data for all the aims related to the above mentioned congress and according to the law D.Lgs. 196/2003

* compulsory field

A.I.C. Asti Incentives & Congressi srl - Piazza San Uomobono, 30 - 56126 Pisa (Italy)
Ph. +39 050 598808 - hepatology2018@aicgroup.it - www.aicgroup.it

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HEPATOLOGY 2018

Conference Registration

PERSONAL DATA

Last Name*

First Name*

Address*

Postal Code*

Town*

Country*

Vat Number / Tax Code (SSN/SIN)*

C.F. (Fiscal code for Italian participant)*

Phone*

Fax

Email address*

You need an invoice addressed to a different subject?

Yes

if you need an invoice addressed to a different subject (department, university or other institution) please check "Yes" and fill in the following section

INVOICE DETAIL

Company Name*

Company Address*

Company Postal Code*

Company Town*

Company Country*

Company Vat Number / Tax Code (SSN/SIN)*

Company Vat number

REGISTRATION FEE

Registration*

Full registration € 500,00 after March 16th, 2018

Young Researcher Under 40 FREE

Members of Epatologi della Toscana Association FREE

Payments are processed through credit card.

METHOD OF PAYMENT

Method*

VISA

MASTERCARD

Card Number*

Exp. Date*

insert month and year expiration date

CVV Code*

CVV code: last 3 numbers behind your credit card

Cardholder*

Bank Trasfer

For all details of bank transfer please contact hepatology2018@aicgroup.it

Authorization*

Yes

I hereby authorize A.I.C srl to the treatment of my personal data for all the aims related to the above mentioned congress and according to the law D.Lgs. 196/2003

* compulsory field

A.I.C. Asti Incentives & Congressi srl - Piazza San Uomobono, 30 - 56126 Pisa (Italy)
Ph. +39 050 598808 - hepatology2018@aicgroup.it - www.aicgroup.it

This field should be left blank

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Accommodation

Asti Incentives & Congressi srl has secured accommodation at preferential rates in a number of hotels ranging in cost, all within a short distance of the Pisa Palazzo dei Congressi.

HEPATOLOGY 2018

ACCOMMODATION FORM

PERSONAL DATA

Last Name*

First Name*

Address*

Postal Code*

Town*

Country*

Vat Number / Tax Code (SSN/SIN)*

C.F. (Fiscal code for Italian participant)*

Phone*

Fax

Email address*

INVOICE DETAIL

HOTELS (NO SHUTTLE PROVIDED, CITY TAX NOT INCLUDED): BREAKFAST INCLUDED

PISA CITY TAX: According to the City Council resolution N° 56 of December 21st 2011, since 1st March 2012 Pisa introduced a CITY TAX, applied to NON residents overnight staying, for a maximum of 3 consecutive nights during the low season and for a maximum of 5 consecutive nights during the high season. The tourism tax for 4* hotel is € 2,00 per night per person, for 3* hotel is € 1,50 per night per person to be paid at the check-out.

PLEASE NOTE • All rates are in Euros, per room per night and include overnight and breakfast; • Rooms will be allocated on a first come, first served basis; • Credit card data will be requested as guarantee upon booking confirmation; total payment is due directly to the hotel and invoices will be issued directly by the hotels • No reservation will be guaranteed for requests arrived after 20th April 2018. After this date availability will be requested; • A voucher as confirmation will be sent to all participants by AIC srl two weeks before the beginning of the Congress;

CANCELLATION POLICY • Any change or cancellation must be sent in written to AIC srl (fax +39 050 0987825 // e-mail hepatology2018@aicgroup.it • Within 20th April 2018: no amount will be charged on your credit card • After 20th April 2018: first night rate will be charged on your credit card as penalty No show: reservations will be automatically cancelled and the total amount for your stay will be charged on your credit card

HOTEL

Hotel (1st choice)

Hotel (2nd choice)

Arrival date:

Departure date:

Total nights:

Room type

DUS room

DBL double room with...

TWN twin room with...

Total Amount due

First night as guarantee

Balance

METHOD OF PAYMENT

(First night as guarantee)

AND

(as balance) directly to the hotel

Method*

VISA

MASTERCARD

Card Number*

Exp. Date*

insert month and year expiration date

CVV Code*

CVV code: last 3 numbers behind your credit card

Cardholder*

I hereby attach copy of bank transfer of

(First night as guarantee)

File upload

Browse...

Maximum size 10MB

Authorization*

Yes

I hereby authorize A.I.C srl to the treatment of my personal data for all the aims related to the above mentioned congress and according to the law D.Lgs. 196/2003

* compulsory field

A.I.C. Asti Incentives & Congressi srl - Piazza San Uomobono, 30 - 56126 Pisa (Italy)
Ph. +39 050 598808 - hepatology2018@aicgroup.it - www.aicgroup.it

This field should be left blank

Please wait...

HEPATOLOGY 2018

ACCOMMODATION FORM

PERSONAL DATA

Last Name*

First Name*

Address*

Postal Code*

Town*

Country*

Vat Number / Tax Code (SSN/SIN)*

C.F. (Fiscal code for Italian participant)*

Phone*

Fax

Email address*

INVOICE DETAIL

HOTELS (NO SHUTTLE PROVIDED, CITY TAX NOT INCLUDED): BREAKFAST INCLUDED

HOTEL

Hotel (1st choice)

Hotel (2nd choice)

Arrival date:

Departure date:

Total nights:

Room type

DUS room

DBL double room with...

TWN twin room with...

Total Amount due

First night as guarantee

Balance

METHOD OF PAYMENT

(First night as guarantee)

AND

(as balance) directly to the hotel

Method*

VISA

MASTERCARD

Card Number*

Exp. Date*

insert month and year expiration date

CVV Code*

CVV code: last 3 numbers behind your credit card

Cardholder*

I hereby attach copy of bank transfer of

(First night as guarantee)

File upload

Browse...

Maximum size 10MB

Authorization*

Yes

I hereby authorize A.I.C srl to the treatment of my personal data for all the aims related to the above mentioned congress and according to the law D.Lgs. 196/2003

* compulsory field

A.I.C. Asti Incentives & Congressi srl - Piazza San Uomobono, 30 - 56126 Pisa (Italy)
Ph. +39 050 598808 - hepatology2018@aicgroup.it - www.aicgroup.it

This field should be left blank

Please wait...

Full registration after March 16th, 2018	€ 500,00
Young Researcher Under 40	Free	Free
Members of Epatologi della Toscana Association	Free	Free

Registration and Hotel Accommodation info

Registration

HEPATOLOGY 2018

HEPATOLOGY 2018

Accommodation

HEPATOLOGY 2018

HEPATOLOGY 2018

All rates are in Euros, per room per night and include overnight and breakfast;

Rooms will be allocated on a first come, first served basis;

Credit card data will be requested as guarantee upon booking confirmation; total payment is due directly to the hotel and invoices will be issued directly by the hotels

No reservation will be guaranteed for requests arrived after 20th April 2018. After this date availability will be requested;

A voucher as confirmation will be sent to all participants by AIC srl two weeks before the beginning of the Congress;

Any change or cancellation must be sent in written to AIC srl (fax +39 050 0987825 // e-mail hepatology2018@aicgroup.it)

Within 20th April 2018: no amount will be charged on your credit card

After 20^th April 2018: first night rate will be charged on your credit card as penalty

No show: reservations will be automatically cancelled and the total amount for your stay will be charged on your credit card