Registration Form and Registration Confirmation

Last Name*

First Name*

Title or Form of Address*

Institution*

Department*

Street*

Postal Code*

City*

Country*

Phone*

Fax

e-mail*

alternate e-mail

Comments

REGISTRATION DEADLINES AND REGISTRATION FEES ACUTE LEUKEMIAS XVIII MUNICH, GERMANY:

All days (February 20-23, 2022)

"Early" registration fee: € 210
Registration and Payment received December 31, 2021

"Advance" registration fee: € 250
Registration and Payment: received after January 1, 2022, but before February 18, 2022

"On-site" registration fee: € 290
Registration received from February 20, 2022 until February 22, 2022

Day tickets:
Sunday, February 20, 2022 to Tuesday, February 22, 2022: € 80

Half-day tickets:
February 20, until February 23, 2022: € 50

Free access to all sessions:
- Invited Speakers, Chairmen, and Members of the Scientific Committees
- Participating Members of the AMLCG Study Group
- Members of the LMU and TUM Munich
- Members of the HelmholtzZentrum Munich
- Members of the TZM Project Group "Akute Leukämie, MDS und MPS"
- Former Members of the SFB 684 Munich
- Students and Nurses (confirmation required)
- Invited Representatives of the Participating Corporate Partners (confirmation required)

Payment by credit cards is not accepted. Advance payments can either be made by check, money order or can be credited to the Symposium account:

Account Holder: Verein für Leukämieforschung und -Therapie e.V.
Bank: Sparkasse Münsterland Ost
Bank adress: Rothenburg 7, 48143 Muenster, Germany
Bank Code: 400 501 50
Account No: 1900 2468
Key word: ACUTE LEUKEMIAS XVIII and name of participant
IBAN: DE 64400 501 5000 1900 2468
BIC-Code: WELADED1MST

(Please always mention the key word and name of participant, since bank transfers without these details cannot be processed.)

Cancellations, made prior to January 31, 2022 will receive full refund.
Cancellations, made after January 31, 2022 will be assessed a processing fee of € 20.
Cancellations, received after February 18, 2022 will not be honored. Onsite registrations are payable either cash (Euro) or by personal checks. Credit cards are not accepted.

In order to participate in the ACUTE LEUKEMIAS XVIII, participants can either registrate in advance or on-site.

Advance registrations can only be made electronically on the official registration form.
On-site registrations can be made at the registration desk of the meeting center during the below indicated registration hours:
Sunday, February 20, 2022: 9.00 a.m. – 6.30 p.m.
Monday February 21 and Tuesday February 22, 2022: 8.00 a.m. – 6.00 p.m. and on
Wednesday, February 23, 2022: 8.00 a.m. – 9.00 a.m.

*: I intend to participate in ACUTE LEUKEMIAS XVIII Munich, Germany, 2022  

I herewith officially register *:

  I register for all days (February 20-23, 2022):

"Early" registration fee: € 210 (Registration and Payment before December 31, 2021)

"Advance" registration fee: € 250 (Registration and Payment after January 01, 2022 but before February 18, 2022)

"On-site" registration fee: € 290 (Registration and Payment from February 20, 2022 until February 22, 2022)

  I register for:

Day tickets: Sunday, February 20, 2022 to Tuesday, February 22, 2022: € 80

Half-day tickets: € 50  

*: I accept payment and cancellation modalities  

Sicherheitscode

  Ich habe die Datenschutzerklärung
zur Kenntnis genommen.*