Please use one form per delegate.

DELEGATE

Title	Prof. Dr. Mr. Ms. Other
*Family name
*First name
*Institution/Company
*E-mail
Phone
*Fax
City
Postal code
Country
Name of Institution/Company to be printed on the tag
Vegeterian Select Yes if you would like to have vegeterian meals.	Yes No

ACCOMPANYING PERSON

Title	Prof. Dr. Mr. Ms. Other
Family name
First name
Vegeterian Select Yes if you would like to have vegeterian meals.	Yes No

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REGISTRATION FOR IAB

(VAT included)

IAB Member	YES NO
Group	Group A Group B Students
Group A countries are: EU countries, Swiss, Norway, USA, Canada, Singapure, S. Korea, Japan Group B countries are: NON EU countries, African countries (except South Africa), South America, Asia (except Singapure, Japan, S. Korea) * Students must submit a copy of a student ID card to the secretariat
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

REGISTRATION FOR FAB

(VAT included)

FAB Member	YES NO
Group	General Students
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

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REGISTRATION FOR 4TH SOUTH-EAST EUROPEAN BIOETICAL FORUM

(VAT included)

Group	General Students
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

REGISTRATION FOR MEDIA AND BIOETHICS

(VAT included)

Group	General Students
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

REGISTRATION FOR ETHICS OF CLINICAL DRUG TRIALS

(VAT included)

Group	General Students
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

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CONTINUE >>

REGISTRATION FOR 4TH INTERNATIONAL CONFERENCE ON CLINICAL ETHICS AND CONSULTATION

(VAT included)

Group	General Students
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

REGISTRATION FOR BIOETHICS IN NURSING

(VAT included)

Group	General Students
Registration type
Accompanying persons	None Late registration (100.00€) On site registration (100.00€) One day registration (100.00€)

DISCOUNTS Save when you register on more than one meeting! IAB & FAB: congresses discount of 60€ IAB & 4th South-East Bioethical Forum: congresses discount of 60€ IAB & FAB & 4th South-East Bioethical Forum & Media and Bioethics: congresses discount of 80€

TOTAL: 0.00€

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HOTEL RESERVATION

(VAT included)

Category	5 * HOTELS 4 * HOTELS 3 * HOTELS HOSTEL
Hotels in Rijeka / Opatija
Room prices
Arrival date
Departure date
TOTAL: 0.00€

TRANSFER SERVICE REQUEST

I / We are coming by airline	Yes No
From to Rijeka airport Zagreb airport Trst airport
Arrival date
Arrival time
Flight no.
On departure I / We need transfer	Yes No
From hotel to Rijeka airport Zagreb airport Trst airport
Departure date
Departure time
Flight no.
Costs: transfer from Rijeka Airport to hotel. 12.00€/person in one way transfer from Zagreb Airport to hotel. 30.00€/person in one way transfer from Triest Airport to hotel. 20.00€/person in one way
TOTAL: 0.00€

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SOCIAL PROGRAMME

I/We wish to participate in:

Welcome reception at National theater Ivan Zajc, September 5, 2008 No. of persons:

Farewell at Trsat, September 8, 2008 No. of persons:

ACCOMPANYING PERSONS PROGRAMME

*Note: Excursion will be organized for minimum 10 persons.

I/We wish to participate in:

Rijeka sightseeing, price 20.00€ / person No. of persons:

Boat cruise to Krk and Cres, price 35.00€ / person No. of persons:

Istrian Mosaic, price 55.00€ / person No. of persons:

Brioni Islands, price 57.00€ / person No. of persons:

Lipica, Postojna, price 65.00€ / person No. of persons:

Plitvice lakes, price 65.00€ / person No. of persons:

TOTAL: 0.00€

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