European Health Psychology Conference, August 2005
Registration
Personal Details
Title:
First Name:
Family name:
Address:
Country:
Phone:
Fax:
Email:
Organisation:
Department:
   
Registration Fee
Fee
Price
EHPS Member Late Registration Fee
€ 290.00
Non Members Late Registration
€ 370.00
Students/Eastern European Late Registration
€ 140.00
Accommodation Details
Accommodation
Price
 
Corrib Village: Single Standard Bedroom
€ 38.00
Corrib Village: Twin/ Double Standard Bedroom
€ 60.00
Corrib Village: Single en-suite bedroom
€ 45.00
4* Radisson Hotel
€ 140.00
No accommodation required
€ 0.00
Arrive Date:
Departure Date:
No of Persons:
No of Nights:
* Please Press ReCalculate if you have changed
the Number of Persons or Nights.
Name of Person Sharing:

Please enter any requests
ie. Special Dietary Requirements

 
Price
Qty
Conference Dinner
€ 50.00
 
Aran Islands Tour
€ 45.00
 
BBQ
€ 0.00
 
Preference
A - new
Extra Comments / Requirements
Total
Total Amount:
 
 
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