REGISTRATION FORM

REGULAR DELEGATE REGISTRATION

EARLY REGISTRATION
deadline 30 March, 2012		 Access to Preliminary Session, Congress and exhibition, Coffee Breaks and Lunches, Gala Dinner 450 €
LATE REGISTRATION
(deadline 10 June, 2012)		 Access to Preliminary Session, Congress and exhibition, Coffee Breaks and lunches, Gala Dinner 500 €
ONSITE REGISTRATION Access to Preliminary Session, Congress and exhibition, Coffee Breaks and lunches, Gala Dinner 550 €
GALA DINNER Saturday 16 June, 2012 - Beach «Passable», Villefranche sur mer (shuttles included B4 Nice Plaza) included
GASTRONOMIC DINNER Thursday 14 June, 2012 - La Petite Maison, Nice 195 €
DETENTE & SPORTS Sunday 17 June, 2012 : Aquabike in the sea and
lunch on the beach «Ruhl», NiIce		 90 €

ORTHOPTIST, ASSISTANT, STUDENT, FELLOW REGISTRATION

EARLY REGISTRATION
deadline 30 March, 2012		 Access to Preliminary Session, Congress and Exhibition, Coffee Breaks and Lunches (upon presentation of a certificate) 260 €
GALA DINNER Saturday 16 June, 2012 - Beach «Passable», Villefranche sur mer (shuttles included B4 Nice Plaza) 150 €
DETENTE & SPORTS Sunday 17 June, 2012 : Aquabike in the sea and
lunch on the beach «Ruhl», NiIce		 90 €

ACCOMPAGNYING PERSON REGISTRATION

GALA DINNER Saturday 16 June, 2012 - Beach «Passable», Villefranche sur mer (shuttles included B4 Nice Plaza) 150 €
GASTRONOMIC DINNER Thursday 14 June, 2012 - La Petite Maison, Nice 195 €
DETENTE & SPORTS Sunday 17 June, 2012 : Aquabike in the sea and
lunch on the beach «Ruhl», NiIce		 90 €

PAYMENT BY CHECK
Please send your check (payable to REFRACTIVNEWS) to:
IMPACT Ltd. – Géraldine Schmück 10 Rue Ribotti - 06300 Nice, France

PAYMENT BY BANK TRANSFER

Account: ASSOCIATION REFRACTIV'NEWS
Bank: BNP – Nice Rue de France#
IBAN: FR76 3000 4004 6500 0100 5702 853
SWIFT: BNPAFRPPNIC

 

KMSG International Congress & XV Refractiv'news - June 14th to 16th 2012 - NICE - FRANCE - info@refractivnews.com