European Working Group on Rett Syndrome
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Last Name
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Name of Istitution
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E-mail address
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Position :
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Short CV (not for parents and associations) :
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3 days meeting registration before :
from 17 to 19 Sept.2009 - registration before Jan 31st- 215 €
from 17 to 19 Sept.2009 - registration before Feb 28th- 230 €
from 17 to 19 Sept.2009 - registration after Mar 1st - 245 €
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2 days meeting registration before :
from 17 to 18 Sept.2009 - registration before Jan 31st- 145 €
from 17 to 18 Sept.2009 - registration before Feb 28th- 155 €
from 17 to 18 Sept.2009 - registration after Mar 1st - 165 €
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1 day meeting - please select day :
17th September 2009 - 90 €
18th September 2009 - 90 €
19th September 2009 - 90 €
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Hotel reservation - single room + breakfast (before Jan 31st) :
15th Sept 2009 - 160 €
16th Sept 2009 - 160 €
17th Sept 2009 - 160 €
18th Sept 2009 - 160 €
19th Sept 2009 - 160 €
20th Sept 2009 - 160 €
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Hotel reservation - single room + breakfast (before Mar 15th) :
15th Sept 2009 - 170 €
16th Sept 2009 - 170 €
17th Sept 2009 - 170 €
18th Sept 2009 - 170 €
19th Sept 2009 - 170 €
20th Sept 2009 - 170 €
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Hotel reservation - single room + breakfast (after Mar 16th) :
15th Sept 2009 - 180 €
16th Sept 2009 - 180 €
17th Sept 2009 - 180 €
18th Sept 2009 - 180 €
19th Sept 2009 - 180 €
20th Sept 2009 - 180 €
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Hotel reservation - double room + breakfast (before Jan 31st) :
15th Sept 2009 - 125 €
16th Sept 2009 - 125 €
17th Sept 2009 - 125 €
18th Sept 2009 - 125 €
19th Sept 2009 - 125 €
20th Sept 2009 - 125 €
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Hotel resrvation - double room + breakfast (before Mar 15th) :
15th Sept 2009 - 135 €
16th Sept 2009 - 135 €
17th Sept 2009 - 135 €
18th Sept 2009 - 135 €
19th Sept 2009 - 135 €
20th Sept 2009 - 135 €
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Hotel reservation - double room + breakfast (after Mar 16th) :
15th Sept 2009 - 140 €
16th Sept 2009 - 140 €
17th Sept 2009 - 140 €
18th Sept 2009 - 140 €
19th Sept 2009 - 140 €
20th Sept 2009 - 140 €
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Social Dinner (on 17th evening) - number of attendant :
1
2
3
4
5
6
7
8
9
10
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Dinner Isola dei Pescatori (on 18th) - number of attendant :
1
2
3
4
5
6
7
8
9
10
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I would like to share the room :
No
Yes
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with :
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