Registration Form

XVth Balkan Congress of Radiology

Budapest, October 12-14, 2017

Please fill in fields marked with bold characters.

Personal Data

If you do not have a Hungarian registration number please tick none.

Accompanying person

Address

Mailing Address

Same as office address.

Registration Fees
Before 31 July, 2017 After July 31, 2017
BCR, Specialist
BCR, Residents-in-training
BCR, Radiographer
BCR+ESOR, Specialist
BCR+ESOR, Residents-in-training
BCR+ESOR, Radiographer
Total:
Accommodation
Arrival date:
Departure date:
Number of nights:
 
Single room, Hotel Helia 110 €/room/night
Single room with Danube view, Hotel Helia 122 €/room/night
Double room, Hotel Helia 120 €/room/night
Double room with Danube view, Hotel Helia 132 €/room/night
Total:
Meals
Buffet lunch, 12 October 2017 26 €/PAX
Buffet lunch, 13 October 2017 26 €/PAX
Buffet lunch, 14 October 2017 26 €/PAX
Buffet lunch, 15 October 2017 26 €/PAX
Total:
Events
Great Market Hall Budapest tour, 12 October, 2017 20 €/PAX
Banquet Dinner, 13 October, 2017 60 €/PAX
Budapest sightseeing by bus, 14 October, 2017 25 €/PAX
Full-day Excursion to the Danube Bend, 15 October 60 €/PAX
Total:
Payment
Invoicing

According to the Hungarian law on VAT we must make out an invoice against all
payments including the name, address and - if applicable - the VAT number of the buyer.

Payment Summary
Registration fee:
Accompanying person's registration fee:
Accommodation:
Meals:
Events:
Total
Important Information

Intermediated services are included in the above amounts.
The confirmation we send you against your registration serves as a contract.

Please print this form before submitting your registration.