9th Marine Mammal Medical Workshop Registration

Last update: Sunday, 21^st October, 2007

9^th Marine Mammal Medical Workshop

L'Oceanogràfic
Ciudad de las Artes y las Ciencias
Valencia - Spain
December 1 - 4, 2007

Note: Fields marked with *) are required for submission by e-mail.

*Name )**
Title
Affiliation
*Address )**
Phone
Fax
*E-mail )**

Registration fee	Registration fee: 750.00 EUR Optional: Monday (3/12) dinner at Underwater Restaurant (EUR 55.00) Note: registration fees include all lunches and evening events except the optional Monday dinner.
Companion fees
	Lunch (EUR 27.00 each)	Saturday Sunday Monday Tuesday
	Evening events	Saturday (1/12) cheese and wine evening (EUR 32.00) Sunday (2/12) dinner and visit to Old Valencia (EUR 90.00) Monday (3/12) dinner at Underwater Restaurant (EUR 55.00) Tuesday (4/12) closing dinner at Oceanos restaurant (EUR 55.00)
*Total Amount (EUR))**

Payment Method	Bank Transfer (see Bank Information) Credit Card (see Credit Card Information)
Card Data String	Note: do NOT enter your card number here. See credit card information below.

If you have problems submitting the form or decide againts online registration, print the form by pressing the Print button in your browser and send it to:

Dr. Géraldine Lacave
Veterinary Office Werkhuisstraat 20
8000 Brugge, Belgium
Phone	+32-475 48 59 92
E-Mail	workshop@rosmarus.com

Bank information (for Bank Transfers)

Dexia Bank
Account holder	Géraldine Lacave - MMM Workshop
Account	778-5976830-36
IBAN	BE46-7785-9768-3036
BIC	GKCCBEBB

Credit Card information

In order to allow a safe transfer of your credit card details, a special program is provided that allows you to safely encrypt the credit card data. You can download a zip file with the program here (approx. size: 990 kB). Unzip all the files in a temporary directory on your hard disc, execute the extracted program CardChecker.exe and copy the encrypted data string into the Card Data String field of the form. This program uses a dedicated secure and robust algorithm to encrypt the data.

Note: This program only works under Microsoft Windows. If you do not use Windows on your computer or if you have problems using the program, you can call the workshop manager Dr. Géraldine Lacave at the phone number mentioned above and give her your card data over the phone.

Note: registrations will be considered upon receipt of the registration fee

(Cancellation policy: 90% refund until one week prior to the workshop)

For more information, contact the workshop manager.

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