Registration form

Quantitative EEG, Event Related Potentials and Neurotherapy
In Theory and Practice: Five-Day Workshop
South Kingscliff, Australia, March 2012 21st - 25th

Course price / organizational notes

sign_in_header

I do sign up bindingly for this workshop:

sign_in_data3

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:

sign_in_data4

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!

sign_in_data6

Do you have special requests?

Your message for us:

sign_in_data7

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

sign_in_data8

Please enter the number shown in the picture here. This is to avoid spam.* CAPTCHA image for SPAM prevention

If you can't read the number, click here.

sign_in_footer

*) Mandatory fields