Registration form

Thank you very much for your interest in the XIIIth Humanitarian Congress.

To register for the event on 28-29 October 2011, please complete the following form.

Fields marked with an asterisk (*) are mandatory.

REGISTRATION DEADLINE: Monday, 17th October 2011
PLEASE NOTE: Even though the registration deadline has passed, there are some very few remaining places and you can still register here through the registration mask below. However, we would like to ask you not to tranfer you participant's fee any more but to pay cash at the congress itself.



Profession/category:*(please check one)
 
 
 
 
 
 
 
 
Personal Data:*
/
Attendance:*  
 
 
Registration fee:*
  Standard fee:*
 
 
  Reduced fee:
 
 
How did you hear about the Humanitarian Congress?
(max. 200 characters)
 
Please select what panels you would like to participate in:*
Friday, October 28
Saturday, October 29
Do you have any remarks?
(max. 200 characters)
 
 


Thank you for registering.

If you require any additional information on the registration process, please send us an e-mail .

We look forward to welcoming you at the XIIth Humanitarian Congress.

 

Congress fees

Costs for participation at the XIIth Humanitarian Congress are as follows:

Standard fee:
1 day:   € 50
2 days: € 95

Reduced rate:**
1 day:  € 25
2 day: € 45

** The following people are eligible for the reduced rate: students; trainees; unemployed; employees of Médecins du Monde Germany (Munich office), German Red Cross (Berlin office), the Berlin Chamber of Physicians and employees of MSF Germany (Berlin/Bonn office only). Proof of identity is required.

Payment should be made by electronic transfer to the following bank account:

Account holder:Ärzte ohne Grenzen Stiftung
Account number:729 00
Bank:Sparkasse Köln/Bonn
Bank code:370 501 98
IBANDE74 3705 0198 0000 0729 00
Swift Code:COLSDE33
Billing reference:   

Humanitarian Congress 2010, your name,
date of registration


Please note: your registration will expire if the participation fee is not received within two weeks of registration.

Ärzte ohne Grenzen Stiftung
18. und 19. November 2005, Kaiserin-Friedrich-Haus, Robert-Koch-Platz 7, 10115 Berlin