Satellite Symposium on Deep Tissue Profiling 12th May 2019

Registration for the Satellite Symposium on Deep Tissue Imaging, May 12th 2019, that preceeds the 7th CCBIO Symposium 2019, May 13-14th, also at Solstrand Hotel. (For registration to the CCBIO Annual Symposium, there is a separate registration form.)

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. May 12th, lunch May 12th, scientific program Deep Tissue Profiling Symposium May 12th, dinner
Do you need hotel accommodation?

Do you need hotel accommodation? No, I do not need a hotel room. Yes, I need hotel room May 12th to 13th

CCBIO is holding rooms at Solstrand Hotel, and will make the reservation for you, if we still have rooms available (first come first served basis).
I want to/am willing to share my hotel room with the following person/persons (Up to four people can share. Leave blank if you want a single room):

If you will not be spending the night at the hotel, you don't need to fill in this part.
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 want to pay directly at the hotel/My funds are located outside of the UiB My funds are located at the UiB and I want an "internal UiB invoice"

The own contribution is 500 for the meeting (inc lunch) and 1500 if you also want to have dinner and stay over night.
Invoice Address (UiB employees can write their department)

please be as detailed as possible regarding the address. The price for the Liquid Biopsies Symposium is NOK 300,- (incl. lunch) if you stay for the day seminar only, and a total of NOK 1500,- if you also stay for dinner and require a hotel room. These rates are heavily subsidized by CCBIO.
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).
Anything else you want to inform about?

Anything else you think we should know?