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Registration - Accommodation – Transfer Form

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Participant Information
Registration Information
Accommodation Information
Airport Transfer Information
Daily Tour Information
Pre-Post Tour Information
Payment Information
Services Review
If you have already registered please click here
Title
First Name / Last Name *
Institution *
Department
   
Paper ID *
Paper Title *

Please include the manuscript ID and title of the paper you will be representing at MICCAI 2016. Please note that at most one paper can be represented by one registration. If you are not associated with an accepted paper, please enter “N/A”.
Address
City *
Province or State
Postal or Zip Code
Country *
Telephone
(Including country code)		 *
Fax
(Including country code)
Mobile
(Including country code)
E-mail * (Institute) *
E-mail * (Personal) *
Please fill if you need invitation letter for VISA application
Year of Birth
Passport Number
Dietary or other special requirements
   
Invoice Information  
Institution Name
Institution Address
Tax Office
Tax No
 
  Early Bird Registration
Before or on 2 September 2016		 Regular Registration
On or after 3 September 2016
Registration
Regular Membership Rate100 EUR 100 EUR
Student Membership Rate50 EUR 50 EUR
Regular MICCAI Member 3
Member Code :
* If you have paid your membership fee to the MICCAI Society, please enter the code that has been provided by the Society. If you haven't paid your membership fee and would like to register from the member rate please select the membership fee from above.		750 EUR 850 EUR
Regular MICCAI Non-Member 865 EUR 1000 EUR
Student MICCAI Member 1,3
Member Code :
* If you have paid your membership fee to the MICCAI Society, please enter the code that has been provided by the Society. If you haven't paid your membership fee and would like to register from the member rate please select the membership fee from above.		400 EUR 475 EUR
Student MICCAI Non-Member 1460 EUR 550 EUR
Regular Workshop/Tutorial/Challenge ONLY 2
17 October 2016
21 October 2016		220 EUR 265 EUR
Student Workshop/Tutorial/Challenge ONLY 1,2
17 October 2016
21 October 2016		160 EUR 195 EUR
Regular Workshop/Tutorial/Challenge Booked with Main Conference
17 October 2016
21 October 2016		160 EUR 195 EUR
Student Workshop/Tutorial/Challenge Booked with Main Conference
17 October 2016
21 October 2016		125 EUR 150 EUR
Social Event
Extra Gala Dinner Ticket (One ticket is already included to the registration fee)
Pax : 		135 EUR 135 EUR
I will be attending the Welcome Reception on 18 October 2016
I will be attending the Gala Dinner on 19 October 2016
I will be attending the MICCAI Student Academia and Industry Event
Please select one fullday workshop or either one am workshop and one pm workshop from the topics below.
Please click here to get detailed information about workshop/tutorial/challanges
17 October Workshop/Tutorial/Challenge
(CW) CVII-STENT - Full day
(CW) CSI - Full day
(CW) BRAINLES - Full day
(W) CLIP - Full day
(W) MLMI - Full day
(W) CBM - Full day
(CW) STACOM - Full day
(W) CARE - Full day
(W) IMIC - Full day
(W) PATCHMI - AM
(T) PAI - AM
(W) RAMBO - AM
(W) BACON - AM
(C) TUPAC - PM
(C) CREMI - PM
(CW) HVSMR - PM
(T) AFMRI - PM
(W) ML-CDS - PM
Please select one fullday workshop or either one am workshop and one pm workshop from the topics below.
Please click here to get detailed information about workshop/tutorial/challanges
21 October Workshop/Tutorial/Challenge
(W) CDMRI - Full day
(CW) M2CAI - Full day
(W) BAMBI - Full day
(W) MCV - Full day
(W) SESAMI - Full day
(W) DLMIA - Full day
(W) OMIA - Full day
(CW) CPM - Full day
(W) SASHIMI - AM
(C) MSSEG - AM
(W) PIPPI - AM
(T) XNAT - AM
(T) ASFND - AM
(W) LABELS - PM
(C) PETSEG - PM
(W) PIA - PM
Registration Cost: €
  • Registration will be confirmed after receiving full payment. Those who do not receive a confirmation notice before the symposium are requested to contact the registration secretariat at [email protected] . Only participants who complete their registration will be included in the program.
  • The date of payment is decisive for the registration fee. Even if the registration form is received before the early bird deadline, it will not be considered as early registration if the payment has not been received before the deadline.
  • Registration Fees include VAT.
  • Medical Image Computing and Computer Asissted Interventions (MICCAI) plans to take photographs and video material at the MICCAI 2016 Conference in Athens, Greece and reproduce them in educational, news or promotional material, whether in print, electronic or other media, including the MICCAI website. By participating at the Medical Image Computing and Computer Asissted Interventions in Athens, Greece, you grant MICCAI the right to use your name, photograph and biography for such purposes. All postings become the property of MICCAI. Postings may be displayed, distributed or used by MICCAI for any purpose.

1 To be eligible for the student rates, students are required to produce up to date documentary evidence of their status. Without this documentation, delegate fees will be applied. Students should send necessary document via fax to +90 212 347 63 63 or e-mail to [email protected] .
2 Workshops are on October 17 and 21, 2016. Please select only one workshop if it is a fullday workshop since all workshops are parallel.If you wish to attend an am and pm workshop please select one from each time slot. To attend workshops both on 17 and 21 October please select both dates and note that you need to pay the above mentioned rates two times.
3 To be eligible for the member rates, participants are required to fill the code they have received from MICCAI Society regarding their membership renewal or you can pay your membership fee directly from the registration form in order to be eligible for the Regular member and Student member rate.

Conference Registration Fee Includes:

  • Attendance to all scientific sessions on 18-19-20 October 2016
  • Conference materials
  • Coffee breaks and lunches to be served during the conference scientific program
  • Welcome Reception at Intercontinental Hotel on 18 October 2016.
  • Gala Dinner on 19 October 2016.

Worskhop Registration Fees include:

  • Workshop attendance
  • Workshop materials
  • Coffee breaks and luncHes to be served on October 17 and 21, 2016

 Cancellation Policy – Registration:
Requests for registration cancellation must be received in writing by the MICCAI 2016 Registration Secretariat (DEKON) by fax at +90 212 347 63 63, or via e-mail to [email protected]

  • Cancellations received before or on 20 August, 2016 – full refund less € 50 administration fee.
  • Cancellations received on or after 21 August, 2016 –  no refund

 Please note that registration refunds will be processed within 30 days after the end of MICCAI 2016, bank charges will be deducted from the refund.

 
Hotels Category Distance to the Congress Venue Room Type Single Room Double Room
  • Please make your reservations early; bookings are on a first-come first-served basis.
  • For any queries about hotel matters, please contact us via email: [email protected]
  • Rates quoted are in €, per room per night, including breakfast and VAT.
  • Deadline for hotel reservations is 27 September 2016. For reservation requests after that date, Dekon may not be able to guarantee any available rooms with the above-mentioned room rates.
  • Room reservations will be confirmed only after receiving full payment with credit card or by bank transfer.
  • Hotel check-in time is 15:00 hrs and check-out time is 11:00 hrs. If you expect to arrive earlier than the check-in time and require guaranteed check-in on arrival, please make your hotel reservations for the day before.
Hotel  
Hotel Name
Room Type
Check In
Check Out
Please select Bed Type
Sharing the room with
Room Mate
Special Requests, if any

Cancellation Policy – Accommodation:
Cancellations or changes should be received in writing by the ASCVTS 2015 Registration Secretariat (DEKON) by fax at +90 212 347 63 63, or via e-mail to [email protected] . Please do not contact the hotels directly.

  • Cancellations received before or on August 25, 2016 – eligible for full refund, less one night deposit
  • Cancellations received on or after August 26, 2015 –  no refund

Please note that accommodation refunds will be processed within 30 days after the end of MICCAI 2015, bank charges will be deducted from the refund.

In the event of non-arrival, the hotel will automatically release the reservation and full payment will be non-refundable.
Late arrival /Early Departure Fee - If you arrive later or leave earlier than on the dates of your confirmed booking, the total cost of accommodation will be charged and no refunds will be issued.

Accommodation Cost: €
One Night Deposit : €
One Night Deposit
Full Payment
One-way private transfer fee : € 130 / per car (max 2 people)
Arrival Departure
Arrival Transfer Type Departure Transfer Type
Arrival Date Departure Date
Arrival Time Departure Time
Arrival Flight number Departure Flight number
Person Person
 
  • Rates quoted are in EUR, for one way.
  • Drop off and pick-ups will be made to/from hotel.

Cancellation Policy – Transfer:
Cancellations or changes should be received in writing by the ASCVTS 2015 Registration Secretariat (DEKON) by fax at +90 212 347 63 63, or via e-mail to [email protected] .

  • Cancellations received before or on September 29, 2016 – eligible for full refund
  • Cancellations received on or after September 30, 2016 –  no refund

 Please note that transfer refunds will be processed within 30 days after the end of MICCAI 2016, bank charges will be deducted from the refund.
Transfer Cost: €
 
Tour Category Price/pp Date Pax
  • Participation for daily tours is on a first-come first-served basis.
  • For any queries, please contact us via e-mail at: [email protected]
  • Rates quoted are in Euros, per person, including taxes.
  • Reservations will be confirmed only after receiving the full payment by credit card or bank transfer. If the payment has not been received by January 5, 2015, it will be assumed that the participant no longer wishes to go on the tour and the reservation will automatically be cancelled.
  • Above tours are available between or on February 1 – 7, 2015.
  • Above tours can be operated with a minimum of 5 attendees. Dekon may cancel a tour if the minimum number of people required is not reached. In such cases, the fees will be fully refunded.
* These tours cannot be operated on Tuesdays.

Cancellation Policy – Daily Tour:
Cancellations of daily tours should be received in writing by the CODATU 2015 Registration Secretariat (DEKON) by fax at +90 212 347 63 63, or via e-mail to [email protected] . An administrative fee of € 10 will be applied for any cancellations before or on January 20, 2015.
Absolutely no refund will be processed for cancellations on or after January 21, 2015.
Please note that tour refunds will be processed within 30 days after the end of CODATU 2015, bank charges will be deducted from the refund.

Daily Tour Cost: €
 
Tour Single Double Date Room Type Room Mate
Post Transfer Cost: €
  • Participation for pre-post tours is on a first-come first-served basis.
  • For any queries, please contact us via e-mail at: [email protected]
  • Rates quoted are in Euros, per room, including flight or/and bus tickets and taxes.
  • Reservations will only be confirmed after receiving the full payment by credit card or bank transfer. If the payment has not been received by January 5, 2015, it will be assumed that the participant no longer wishes to go on the tour and the reservation will be cancelled.
  • Above tours can be operated with a minimum of 5 attendees. Dekon may cancel a tour if the minimum number of people required is not reached. In such cases, the fees will be fully refunded.

Cancellation Policy – Pre-Post Tour:
Cancellations of pre-post tours should be received in writing by the CODATU 2015 Registration Secretariat (DEKON) by fax at +90 212 347 63 63, or via e-mail to [email protected] . An administrative fee of € 50 will be applied for any cancellations before or on January 5, 2015.
Cancellations received between or on January 6 - 20, 2015: Eligible for 50% refund.
Absolutely no refund will be processed for cancellations on or after January 21, 2015.
Please note that tour refunds will be processed within 30 days after the end of CODATU 2015, bank charges will be deducted from the refund.
 
Payment by Wire Transfer
Payment by Credit Card

I ACCEPT ALL GENERAL CONDITIONS
I agree and acknowledge that I am undertaking participation in any or all MICCAI 2016 Conference Events as my own free and intentional act and I am fully aware that possible physical injury might occur to me as a result of my participation in these events. I give this acknowledgement freely and knowingly and that I am, as a result, able to participate in any or all MICCAI 2016 Conference Events and I do hereby assume responsibility for my own well-being. I also agree not to allow any other individual to participate in my place
Total Cost: €
Due Cost: €
Payment by Wire Transfer
 
Account Name DEKON Kongre ve Turizm Hiz.A.S.
Bank Name Akbank T.A.S. – Istanbul – Turkey
Branch Name / Code Esentepe Branch (0420)
Swift No AKBKTRISXXX
IBAN No (EURO) TR11 0004 6004 2003 6000 1663 11
  • Bank charges are the sole responsibility of the participant and should be paid in addition to the fees.
  • All wire transfers should indicate the following information: “Name of Sender, Date of wire transfer, Amount of wire transfer & Explanation” and receipts must be sent by fax to DEKON at: +90 212 347 63 63, or by e-mail to: [email protected]
Only (Visa) or (Master Card) is accepted,
 
please do not use (American Express) for the payment.

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