The 6th SCANPATH: Scandinavian Translational Pathology Seminar, Bergen, November 14-15, 2022

Name Name First Last
Red star=required /mandatory information.
Nationality

Our hotel is obliged to register their guests' nationality.
Position/title

Your position or title (or if a student: whether you are a master student, PhD student or other)
Department

What department you belong to at your university/place of work.
Institution/Organization

The name of the university/hospital/organization where you work or study.
Mobile phone

A phone number where we can reach you also during the symposium.
Email

Your e-mail address.
Please indicate ALL parts you will participate in.

Please indicate ALL parts you will participate in. November 14, Seminar day 1 November 14, Lunch November 14, Dinner November 15, Seminar day 2 November 15, Lunch

You can tick several boxes. Tick all the boxes if you will participate in both events, throughout.
Do you need hotel accommodation?

Do you need hotel accommodation? No, I do not need a hotel room. Yes, I need hotel room November 14-15 (during the seminar) I also need a hotel room November 13-14 (before the seminar). Additional 2 200 NOK. I need a hotel room AND 3-course dinner on November 13 (served until 21.00), Additional 2 390 NOK
I want to/am willing to share my hotel room with the following person/persons
Please describe any allergies or needs you have with regards to foods or beverages:

If you don't have any allergies or special requirements, you don't need to write anything here.
Payment

Payment I wish to pay at the hotel. My funds are located outside of the UiB I want an invoice. My funds are located outside of the UiB I want an "internal UiB invoice". My funds are located at the UiB.

The own contribution for seminar participation is NOK 3000,-. This rate is subsidized.

If you have chosen to arrive at Solstrand November 13, the extra NOK 2200 or 2390 will the added to your bill.

Commercial participants have separate rates.
INVOICING
If your funds are at the UiB, please write stedkode+delprosjektnummer
-If your funds are outside of the UiB, please enter invoice address and invoice reference/fakturareferanse *

Please be as detailed as possible.

The own contribution for seminar participation is NOK 3000,-. This rate is subsidized.

If you have chosen to arrive at Solstrand November 13, the extra 2200 or 2390 will the added to your bill.

Commercial participants have separate rates
Economy contact person, email, phone number

The contact information for the person handling the finances for your group in your organization's administration. UiB employees/students should also add department number (stedsnr).
STAND
Commercial companies can have a stand to present their products & services. Please write your specific needs (table, power etc etc) onto the "Anything else you want to inform us about" box below.

STAND
Commercial companies can have a stand to present their products & services. Please write your specific needs (table, power etc etc) onto the "Anything else you want to inform us about" box below. Yes, I want to have a stand
POSTER PRESENTATION
A one page poster abstract in Word format needs to be submitted to Eli.Vidhammer@uib.no within October 15 for inclusion in the poster book

POSTER PRESENTATION
A one page poster abstract in Word format needs to be submitted to Eli.Vidhammer@uib.no within October 15 for inclusion in the poster book I want to present a poster

If you will NOT be presenting poster, you can skip all questions pertaining to posters.
Will there be more than 1 person to present the poster? If yes, indicate name(s).

Both (or all) of you might tic the box that you wish to present poster, but indicate the name(s) of the other(s) so that we know it is one and the same poster (cross-reference each other).
Poster title
Poster authors
Preferable poster format: Portrait H120 x W85. However, you are welcome to use larger posters if they are already printed. If your poster has a larger height or width than our preferred format, you are required to specify its dimensions (height and width) below.
Anything else you want to inform about?

Anything else you think we should know?