REDOX AND INFLAMMATION SIGNALING 2012 : REGISTRATION FORM

Deadline : December 10, 2011 unless the meeting is sold out before.

Title
First name *
Name *
Laboratory *
Company
Street *
City *
Zip-code *
Country *
Contact: Telephone *
Fax
E-mail
*
Confirm E-mail
*

A working email address is required for all future communications, please fill out this box carefully. This part of the form will also be used to acknowledge automatically your registration and confirm your payment !

I agree that these informations are communicated to the exhibitors of "REDOX AND INFLAMMATION SIGNALING 2012" in order to send relevant informations prior to the meeting. These informations will not be communicated to other companies.


Registration fees
Full registration (450 Euro)
Student registration (350 Euro)
Exhibitor
Students need to provide a student ID at the registration desk ! Please note that we do not offer registrations per day.

  Lunches are included in the registration fees
Please confirm your presence.
25/01/2012
26/01/2012
27/01/2012
Vegetarian lunch
   
  Welcome reception
25/01/2011 (included)
   
  Gala Diner is included in the registration fees, please confirm your presence.
26/01/2012
Vegetarian
   
  Total amount to pay :


Abstract
Please note that the abstract should be submitted via this webform together with your registration. If this is impossible, please send your abstract to marc.diederich@lbmcc.lu Deadline for abstract submission is December 10->31, 2011 unless the meeting is sold out before.
No abstract
Please attach your abstract to this webform.
Poster presentation preferred
Oral presentation preferred (add listing of recent papers as an addendum to your abstract)
I will contribute a paper to the Biochemical Pharmacology number if selected for poster presentation.
I will contribute a paper to the Biochemical Pharmacology number if selected for oral presentation.


All prices include VAT. After January 10th 2012, the participant will have to pay fees directly at the Registration Desk. At registration, the participants will receive the Congress wallet and badge. All cancellations of registration must be written and adressed to the Secretariat. No other means of cancellation will be considered. For cancellation received before December 31th 2011, 75% refund of Registration Fee; before January 10th 2012 , 50% refund of Registration Fee; after January 10th, 2012, no refund for any cancellation will be accepted. The Organizing Committee will not be responsible for and will be exempt from all liability in respect of any loss, damage, injury, accident, delay or inconvenience to any person, or his/her luggage or any other property, for any reason whatsoever. Personal travel and health insurance is recommended. In the event of the entire meeting having to be cancelled owing to force majeure, war etc, then the Organizing Committee cannot accept liability for any claims for damage. The scientific program might be changed without prior notification.
Payment by Bank transfer
 Please pay to : RSL c/o M. Diederich
Banque Générale du Luxembourg
BIC/SWIFT code BGLLLULL, Account IBAN LU65 0030793594710000
No cheques accepted!
  

After submitting, your registration and abstract infos will be sent to the organizer and you will receive a confirmation as soon as we got your money transfer.
Payment by Credit Card
(VISA or Mastercard only)
  

After submitting, your registration and abstract infos will be sent to the organizer and simultaneously you will proceed to a secure credit card payment site. You will receive separate confirmations for payment and registration. At the credit card site, control of your credit card may take a few moments specifically if you experience a slow connection. Do not disconnect and please submit only once.