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Registration Form Event: Cancer Stem Cell Symposia Location: Holmenkollen Park Hotell Rica Kongeveien 26 0787 Oslo http://www.holmenkollenparkhotell.no Time: Wednesday, December 02, 2009 - Friday, December 04, 2009 Event Organizer: Cancer Stem Cell Symposia

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Attendee category	Conference fee NOK 3,000.00 Member nr.
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Sesjon
Deadline for registration 23rd of November! The ticketprice includes: - Social event, Wednesday 2nd of December - Reception by the Major of the Town Hall, Thursday 3rd of December - Lunch every day - Coffee, tea and snacks every day - Bus to the events Press the i-button for a more detailed programme or currency converter Hotel prices: Single room per night: 1.200,- NOK incl. breakfast Double room per night: 1.300,- NOK incl. breakfast (650,- NOK per person) These hotel prices are limited and for participants only. If you wish to book your own accomodation, know that Holmenkollen Park Hotel is 45 minutes with metro from Oslo City centre, so for your convenience we recommend you to stay at the conference hotel.   i   Do you wish to reserve a room during this event? NoYes Holmenkollen Park Hotell Rica - Single room incl. breakfast Holmenkollen Park Hotell Rica - Double room incl. breakfast, shearing with another participant Holmenkollen Park Hotell Rica - Double room incl. breakfast, shearing with companion Holmenkollen Park Hotell Rica - Single room incl. breakfast Check-in date:  -- Choose check-in date -- Tuesday, December 01, 2009 (available rooms: no) Wednesday, December 02, 2009 (available rooms: no) Thursday, December 03, 2009 (available rooms: no) Friday, December 04, 2009 (available rooms: no) Saturday, December 05, 2009 (available rooms: yes)   Check-out date:  -- Choose check-out date -- Wednesday, December 02, 2009 Thursday, December 03, 2009 Friday, December 04, 2009 Saturday, December 05, 2009 Sunday, December 06, 2009 Confirm Booking   Enter firstname, lastname and email of the person(s) you want to share room with: First Name: Last Name: E-mail: Holmenkollen Park Hotell Rica - Double room incl. breakfast, shearing with another participant Check-in date:  -- Choose check-in date -- Tuesday, December 01, 2009 (available rooms: yes) Wednesday, December 02, 2009 (available rooms: no) Thursday, December 03, 2009 (available rooms: no) Friday, December 04, 2009 (available rooms: no) Saturday, December 05, 2009 (available rooms: yes)   Check-out date:  -- Choose check-out date -- Wednesday, December 02, 2009 Thursday, December 03, 2009 Friday, December 04, 2009 Saturday, December 05, 2009 Sunday, December 06, 2009 Confirm Booking   Holmenkollen Park Hotell Rica - Double room incl. breakfast, shearing with companion Check-in date:  -- Choose check-in date -- Tuesday, December 01, 2009 (available rooms: no) Wednesday, December 02, 2009 (available rooms: no) Thursday, December 03, 2009 (available rooms: no) Friday, December 04, 2009 (available rooms: no) Saturday, December 05, 2009 (available rooms: yes)   Check-out date:  -- Choose check-out date -- Wednesday, December 02, 2009 Thursday, December 03, 2009 Friday, December 04, 2009 Saturday, December 05, 2009 Sunday, December 06, 2009 Confirm Booking     Do you have any special needs we need to know about?      I am a vegetarian      If you have any food allergies, please specify:      If you have any other special needs, please specify:   Social Events Do you wish to attend our social events? NoYes      Key Note Lecture, evening 2nd of December      Social event, evening 3rd of December   Special assistance      If you aquire special assistance, please specify:   Additional information Emergency contact information      Name      Phone      After-hours contact e-mail   Please keep your creditcard ready as you will now be forwarded to a secure payment site
Payment You will receive an invoice by email after completing the registration. You will be forwarded to a secure creditcard payment page, and when your payment has been accepted you will receive a confirmation of your registration.