MCC 2009

VARNA

BULGARIA

 

FROM BASIC MOTOR CONTROL TO FUNCTIONAL RECOVERY VI

 

5 – 8 September 2009, VARNA, BULGARIA

 

 

Please complete this REGISTRATION FORM and send by Email

PARTICIPANT Information: Please complete the following form carefully. The information you provide will allow as to correspond with you efficiently and will be also used for your PARTICIPANT BADGE at the MCC2009 Motor Control Conference:

Please type or print in BLOCK LETTERS!

Motor Control Conference MCC 2009

REGISTRATION FORM

PARTICIPANT

Surname:___________________________________Initials:______

First: name:___________________

Tittle: ___________ (Prof. Dr. Mr. Mrs. Ms )

Address of the Participant: _______________________________________________________________

Institution:____________________________________________

Department ___________________________________________

No:__________Street ____________________

City_______________________State/_______________________COUNTRY____

Telephone (country code/city/number)____________________________

Fax:______________________

Email:_____________________

Special requests: ____________________________________________

ACCOMPANYING PERSONS:

Surname:___________________________Initials:______First name:__________________

Surname:___________________________Initials:______ First name:_________________

Special requirements: ________________________________________

I will be attending the Get Together PARTY (included in registration fee)

I will be attending the Evening Motor Control Conference DINNER (included in registration fee)

I will be attending the FOLK DANCE DINNER (not included in registration fee)

REGISTRATION FEES:

Full (early) registration up to 30 June:

Regular participants  EURO, Students  EURO, Accompanying persons  EURO

Full (late) registration fee after 30 June:

Regular participants  EURO, Students  EURO, Accompanying persons  EURO

PAYMENT to MCC2009:

 you will be provided with BANK coordinates  

CERTIFICATES OF ATTENDANCE of the

MCC2009 MOTOR CONTROL CONFERENCE

 

If you need Certificate of attendance of the MCC2009 Conference you will be handed at the closing Ceremony