Registration form:

Would you be so kind and make your registration by 30th November 2011, you will contribute to smoother organisation of the event. Thank you for your cooperation!

Please note that we cannot guarantee room availability after this date.

First name:*
Last name:*
Company/Organization:*
Position*:
City:*
Country:*
Telephone:
Email address:*
Arrival date:*
Departure date:*
Departure time from Prague Airport:*
PARTICIPATION IN:
Conference:
Workshop: (only for members of the Osepa consorcium)
Study Visit: (only for members of the Osepa consorcium)

Accommodation

Please note that prices may vary based on the up-to-date exchange rate.

Prague - WORKSHOP (The workshop starts on March 26 at 9:00 a.m.)
Hotel Adria   www.adria-prague.com
Single room 82 EUR / per room / per night (for 1 person)
Double room 89 EUR / per room / per night (for 2 persons)
Shared with: First name: Last name:
Payment:	Cash on board  Credit card
Rates include breakfast, VAT and local tax. Internet connection is free of charge in the room.
Transfer from the airport to the hotel (arranged by Adria Hotel Prague):
31 EUR / car / 1 way	yes  no
If yes, enter your flight number
The Adria Hotel requires a guarantee with a credit card. Please download and fill in the reservation form and then email or fax it to them. For contact details see the the form. Please pay attention to the cancellation terms! Reservation form.
Jihlava - CONFERENCE, STUDY VISIT (The conference ends on March 29 at 2 p.m., the study visit ends on March 30 at 1 p.m.)
1. Hotel Gustav Mahler   http://www.hotelgmahler.cz/index.php?lang=en
Single room 50 EUR / per room
Double room 62 EUR / per room
Shared with: First name: Last name:
Payment:	Cash on board  Credit card
Rates include breakfast, VAT and local tax. Internet connection is free of charge in the room.
2. Grand Hotel Jihlava   http://www.grandjihlava.cz/aj/index.html
Single room 50 EUR / per room
Double room 70 EUR / per room
Shared with: First name: Last name:
Payment:	Cash on board  Credit card
Rates include breakfast, VAT and local tax. Internet connection is free of charge in the room.

Transfer

Shuttle from Prague to Jihlava (free of charge) 27 March 2012
Shuttle from Jihlava to Prague (free of charge) 29 March 2012
Departure from Jihlava: 17:00, Arrival in Prague: 19:00 (May be affected by traffic.)
Afternoon programme in Jihlava: Excursion to the integrated emergency centre, Brewery excursion, Beer tasting
Shuttle from Jihlava to Prague (free of charge) 30 March 2012
Shuttle 1: Departure from Jihlava: 09:00, Arrival in Prague: 11:00 (May be affected by traffic.)
Shuttle 2: Departure from Jihlava: 12:00, Arrival in Prague: 14:30 (May be affected by traffic.)

You will receive an automatic confirmation of your registration by email!

© 2011 OSEPA