14th meeting of the european society of neurosonology and cerebral hemodynamics
14th meeting of the european society of neurosonology and cerebral hemodynamics
Congress organizing agency:
Express Travel
Address: Lačpleša 13 str.,
LV-1010 Riga, Latvia
Tel.: +371 67365326
Fax: +371 67286161
E-mail: incoming@expresstravel.lv
www.expresstravel.lv
www.expressbaltic.com

On-Line Registration

To register please complete this form. Items with a *  must be completed.
* Surname: 
* Name: 
* Academic Title (Prof., Dr., or other): 
* Position: 
* Company / Organisation: 
Department: 
* Address: 
* City / town: 
* Country: 
Postal code: 
Telephone: 
(Including country area code)  
Telefax: 
* E-mail: 
Invoice address (address on invoice): 
Name of accompanying person(s): 
Special dietary requirements – if any: 

1. Registration fee

Early
Before and on 30th March		 Regular
From 1st April to and on 30th April		 Late / On site
After 1st May and on site		 Nr. of persons Total
Conference participant € 330 € 360 € 380
0 €
Members of NSRG or ENSCH € 280 € 330 € 360
0 €
Tutorial for conference participants € 100 € 100 € 100
0 €
Tutorial for non-conference participants € 150 € 150 € 180
0 €
Student € 80 € 80 € 80
0 €
Exhibitor (staff for trade exhibits) € 200 € 200 € 200
0 €
Accompanying person € 200 € 230 € 260
0 €
LOW INCOME COUNTRIES
 € 160 € 160 € 160
0 €
Total 1: 
0 €

2. Accommodation

Single room price / night Double/twin room price / night Nr. of nights Total
Reval Hotel Latvia **** € 115 € 125
0 €
Reval Hotel Elizabete **** € 115 € 125
0 €
Avalon Hotel **** € 97 € 115
0 €
Albert Hotel ***+ € 92 € 102
0 €
Konventa seta Hotel *** € 69 € 74
0 €
Viktorija Hotel *** € 64 € 73
0 €
Elizabete Hotel *** € 58 € 76
0 €
Dome Pearl Hostel € 29 € 36
0 €
Total 2: 
0 €
In case of double/twin room, 
I wish to share the room with: 
Date of arrival: 
Date of departure: 

3. Additional programmes

Price Nr. of persons Total
Social programmes
Riga city sightseeing tour (23 May 2009) € 30
0 €
Get together party (23 May 2009) included in the registration fee
0 €
Excursion to Rundale palace (24 May 2009) € 75
0 €
Excursion to Jurmala (25 May 2009) € 40
0 €
Excursion to Sigulda (25 May 2009) € 55
0 €
Gala dinner (25 May 2009) € 46
0 €
Total 3: 
0 €

4. Total ammount payable

Total 1 Registration fee
0 €
Total 2 Accommodation
0 €
Total 3 Additional Programmes
0 €
Grand Total: 
0 €

Payment (Please, indicate the preferred method of payment.)

Wire transfer
Banking details
Bank account holder:  Express Travel
Address of the account holder:  Lacplesa 13, Riga, LV1010, Latvia
Registration number:  40003433929
Name of the bank:  A/S Swedbank
Account number:  LV87HABA0001408049494
Swift code:  HABALV22

Payment must be remitted in Euro free from all Bank charges
Please remember to state your name and congress name (NEURO2009)
Confirmation of payment will be sent to your mail address.
Please indicate if you want to receive an invoice
Credit card     Click to print credit card payment form
14th meeting of the european society of neurosonology and cerebral hemodynamics