Registration form

Quantitative EEG, Event Related Potentials and Neurotherapy
In Theory and Practice: Five-Day Workshop
Hotel Schweizerhof, November 2010 17th - 21st

Course price / organizational notes

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I do sign up bindingly for this workshop:

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Whole seminar or single days?*

Whole seminar

Singe days

What days?

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Company:

1st Attendee

Name, First Name:*

Street*

ZIP/Place/Country:*

E-Mail-address:*

2nd Attendee

Name, First Name:

Street:

ZIP/Place/Country:

3rd Attendee

Name, First Name:

Street:

ZIP/Place/Country:

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I will bring along a laptop with the following operating system:

Vista

Windows 7

other

Remarks:
- Note that the QEEG software does require a 32bit operating sysxtem- it will not run on 64bit operating systems
- Please make sure to bring along a suitable connector plug/adapter for the German system!

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Accommodation

We have a limited contingent of single and double rooms at the course hotel.
Price per single room CHF 240.- per person and night, including breakfast and dinner. Double rooms are CHF 220.- per person and night, please indicate in the field below if you need a double room.
Booking the room with us is only possible as long as our contingent lasts!
(Please see chapter „Accommodation“ of page "Organizational notices").

Do you want us to book a single room for you?*

Yes, please

No, thank you

Number of rooms

Arrival at

Departure at

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Need a double room or have special requests?

Your message for us:

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Cancellation/Refund Policy:

1. Course:
We try to offer high quality and convenience to you. As a part of that, we want to allow for your maximum flexibility. Therefore, cancellations made until 30 days prior to the course are free of cost. Cancellations made within 7 to 30 days prior to the course will be subject to a fee of 50% of the course fee. If the cancellation is made within the 7-day period prior to the course, the entire course fee will have to be paid.

2. Hotel room:
In case you requested a hotel room, the cancellation policy is: until 90 days prior to the course: no cost; 89 until 40 days prior to the course: 50% of the room fee is to be paid, 39 until 10 days prior to the course: 90% of the room fee is to be paid, after that, full (all in case the hotel cannot fill the room otherwise).

I read the cancellation policy as well as the terms and conditions, agree with it and sign up for the course.*

Yes

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*) Mandatory fields