Submitting Registration - The Joint European Summit for Clinical Nanomedicine 2014 (CLINAM 2014)

CLINAM 7/14- Conference and Exhibition, Basel, June 22-25, 2014

The European Summit for Clinical Nanomedicine and Targeted Medicine

Paving the Way to Personalized Diagnostics & Personalized Medicine
Important : If you are applying a fellowship of CLINAM Foundation then do not register before application.
Send your fellowship application to fellow@clinam.org (see regulations here.)
You will receive the decision and a separate link to register.

Eligibility:In order to get a Fellowship you must address a letter (attachment to mail and not inserted mail) to the Board of the CLINAM Foundation, stating good arguments why the CLINAM Foundation should support you. State clearly which Fellowship you apply for. Besides the letter you need a reference letter by a Superior of your organization stating the motivation of your application. You shall after application receive a decision in written form. Send your application to Fellow@clinam.org The request-date for Fellowship ends on May 1, 2014

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Participants / Submitters Identification
- *Civility
- *Last name
- *First name
- *Category
- *Profession
- *Company / University
- *Department / Affiliation
- *Address
- *Zip code
- *City
- *Country
- *Phone
- Fax
- Mobile
- *Email
- I hereby accept that my family name, first name, function and organization may be mentionned on the attendees list which will be given during the congress.
*Compulsory fields

Registration Type

	I have a submitted paper that was accepted for oral presentation
	I have a submitted paper that was accepted as poster presentation

Registration fees (VAT Free)

Full ticket (22-25 June 2014)

	Early until 25 Apr.14		Regular until 22 June.14
	Regular	ESNAM Member	Regular	ESNAM Member
Submitting Student	370 €	340 €	460 €	420 €
Regular Submitter	450 €	410 €	610 €	550 €

Fees include: 3 days conference access, coffee breaks, lunches and congress bag.

	Fellowship application (see regulation here)
Students	295 €
Submitted speaker	400 €

Fees include: 3 days conference access, coffee breaks, lunches and congress bag.

One day ticket

	Early until 25 Apr.14		Regular until 22 June.14
	Regular	ESNAM Member	Regular	ESNAM Member
Students	150 €	140 €	180 €	160 €
Submitted speaker	170 €	150 €	210 €	190 €

Fees include: 1 day conference access, coffee breaks, lunch and congress bag.

Member Fee counts for Members of The European Society for Nanomedicine - go www.esnam.org

Fees selection

	One day ticket
	Full ticket

Please choose day :

	Monday 23 June, 2014
	Tuesday 24 June, 2014
	Wednesday 25 June, 2014

Your arrival and departure

Please indicate when you arrive in Basel and when you depart, indicating date and approximate time:
- Transportation
- *Arrival date
  (DD/MM/YYYY)
- Arrival time
- *Departure date
  (DD/MM/YYYY)
- Departure time

Accommodation

If you need to book your accomodation yourself, you can find some information on Basel Tourism Website.

I received an invitation incl. Accomodation *

Yes No, I pay my hotel myself

If you received an invitation including accomodation please precise the nights you need :

	Hotel Booking Saturday, June 21
	Hotel Booking Sunday, June 22
	Hotel Booking Monday, June 23
	Hotel Booking Tuesday, June 24
	Hotel Booking Wednesday, June 25
	Hotel Booking Thursday, June 26
	Hotel Booking Friday, June 27

Please note that we will accommodate you according to the conditions which you received in your Invitation letter either at Swissôtel Le Plaza, at Hotel Plaza Ramada, or at Hotel du Commerce . We will book your hotel room according to your statement above. The hotel will directly send you a reservation confirmation. Please let us know any eventual changements of your stay at earliest possible moment since CLINAM would have to pay for all “no shows”.

You can profit of a contingent of rooms at lower prices in 2 Hotels close to the Conference Halls
Hotel du Commerce*** at 155.— CHF per night including Breakfast
Hotel Le Plaza***** 240.— CHF per night including Breakfast
To do so please send an e-mail to clinam2014@insight-outside.fr and precise:
- your check-in and check-out dates
- the type of room (single, double, twin)
- the hotel you choose
Rooms will be paid by you directly at the hotel. Confirmation of Booking will be sent to you by the Hotel.
If you want to do a reservation yourself you may contact Basel Tourism that will be pleased to help you in finding accommodation.Link to http://www.basel.com/en/search/hotels
(Basel Tourism, Incoming Services, Tel. +41 (0)61 268 68 58, incoming@basel.com)

Type of room :

	Double Room
	Single Room

Attending CLINAM

	June 22 (Sunday) (General Assemblies ESNAM / ISNM and Board meeting Eur. Journal of Nanomedicine)
	June 23 (Monday)
	June 24 (Tuesday)
	June 25 (Wednesday)
	June 26 (Thursday) (Industrial Visit, Sightseeing and Visit at Fondation Beyeler)

- Remarks

Lunches

Please confirm your participation to the following lunches:

	Lunch on Monday, June 23th
	Lunch on Tuesday, June 24th
	Lunch on Wednesday, June 25th

Social Events

We cordially invite you for the following social events.

Cancellation policy

Before April 5, 2014 No penalty

From April 6 until 21, 2014 50% fees are due

After April 21, 2014 100% fees are due

The dates refer to receipt of the cancellation. Please notice that substitutions of participants can be made any time.

Cancellation requests must be sent to Insight Outside either by fax or by email.

For further information

Registration	Organization
INSIGHT OUTSIDE 39 chemin du vieux chêne - 38240 Meylan Tel: +33 825 595 525 (0,15€/min*) - Fax: +33 4 38 38 18 19 Email: clinam2014@insight-outside.fr Web site: http://www.insight-outside.fr Information desk monday to friday from 2:00pm to 5:00pm	CLINAM Alemannengasse 12 P.O. Box CH-4016 Basel Contact: Beat LOEFFLER Email: loeffler@clinam.org Phone: 00 41 61 695 93 95

Copyright Photo : Basel Tourism

(*) Prices starting from fixed line incumbent, a surcharge may be applied by operators, counting the second after the first 45 seconds.

According to France's Personal Data Privacy Act in effect since June 2004, you may send a request in writing to INSIGHT OUTSIDE 39 chemin du vieux chêne, 38240 Meylan / France, or by email webmaster@insight-outside.fr to access your file in order to consult, modify and/or delete your personal information.

© 2005 - 2014 Insight Outside

Welcome Dinner on Sunday, June 22rd, 19.45 h at Swissôtel Le Plaza***** 1st Floor		Yes No
Evening Brokerage Dinner & Event (Monday, June 23, 2014)	60,00 € VAT free	Yes No
Speakers Dinner on Tuesday, June 24th		Yes No
Light farewell dinner on Wednesday, June 25th		Yes No
Industrial Visit, City Tour, Museum Fondation Beyeler on Thursday, June 26, 2014 09.30 – 17.00	70,00 € VAT free	Yes No

Before April 5, 2014	No penalty
From April 6 until 21, 2014	50% fees are due
After April 21, 2014	100% fees are due

Participants / Submitters Identification