CONFERENCE: "IS HTA FOR PERSONALISED MEDICINE PRODUCTS, PERSONALISED?"- 12th-13th October 2018

Conference: „Is HTA for Personalised Medicine products, personalized?“ Organized by BAPPM

Hotel Metropolitan, Sofia, 12th-13th October 2018
To reflect its understanding of the multidisciplinary nature of precision and personalized medicine and the need for collaboration and cooperation between multiple stakeholders, BAPPM decided to launch а unique opportunity for cost-free registration and participation in the Workshop with international participation „Is HTA for Personalised Medicine products, personalized?“ for the first 30 participants - representatives of Medical Universities, Faculties of Pharmacy, Faculties of Public Health - lecturers, students, postgraduates and PhD students and representatives of patient organizations.

We hope that you will appreciate the opportunity for personal contact with the experts both from Bulgaria and abroad and for paricipation in the discussions and in the practical courses and to will take advantage of this exclusive offer.
REGISTRATION FORM
Name *

Title First Name Last Name
*

Institution City Country
Email *
example@example
Phone number *

- Country Code - Area Code Phone Number
Forms of Participation

Representatives of the Industry:

	First day - 30 BGN	Second day - 60 BGN	Package price - 100 BGN
Please choose the day you want to participate:

Representatives of Medical Universities and Patient Organizations:

	First day	Second day	First and Second day
Please choose the day you want to participate:

Other participants:

	First day	Second day	First and Second day
Regular Member of BAPPM

	First day	Second day	First and Second day
Invited participants

Registration for the First Conference Day (October 12) includes:
- Access to plenary sessions and presentations
- Conference materials
- Working lunch
- Coffee Breaks
- Official Dinner - October 12, 2018
Registration for the Second Conference Day (October 13) includes:
- Access to plenary sessions and presentations
- Conference materials
- Coffee Breaks
- Official Dinner - October 12, 2018
Registration for both First and Second Conference Days (12-13 October) includes:
- Access to plenary sessions and presentations
- Conference materials
- Working lunch
- Coffee Breaks
- Official Dinner - October 12, 2018
- Certificate of attendance at the Conference

If you want to participate, please note:

	Official Dinner - 12 October, 2018
Please choose

Special requirements:

Vegetarian I do not consume dairy products
HOTEL ACCOMMODATION

Hotel Metropolitan:

	Single Business room - 182 BGN	Double Business room - 222 BGN
Please choose the appropriate room type:

Arrival Date

- Day - Month Year
Departure Date

- Day - Month Year
I want to be accommodated with:
Please, state the name of the second person in the room
Accommodation rates include bed and breakfast, tourist tax and VAT. The hotel reservation will be valid only after registration and payment of the respective number of nights.
PAYMENTS AND CANCELLATIONS
ADVANCE PAYMENT:
- Bank transfer :
  Bank: UniCredit Bulbank AD
  IBAN: BG78 UNCR 7000 1522 3215 16
  BIC: UNCRBGSF
  Please, indicate the participant's name and "BAPPM2018" as a payment purpose.
- By Western Union
  Recepient: Mariana Stanislavova Nedeva
  Country: Bulgaria
  After transferring the amount, please submit the money transfer control number (MTCN), received from Western Union on e-mail: bappm@newevent.bg
- By credit/debit card - If you wish to pay by credit or debit card, please send an email to bappm@newevent.bg and we will send you a Credit Card Authorisation Form (CCAF)
- At the office of New Event – by cash or credit/debit card
PAYMENT ON THE SPOT:

The book amount can be paid on the date of arrival- October 12 at the NEW EVENT's desk in Hotel Metropolitan, Sofia.

Cancellations are accepted only in written form to NEW EVENT through fax or e-mail. The form has to contain all of the needed information about the bank account of the receiver, which will be used for transferring the money back.

For cancellations until September 12, the first overnight will still have to be paid; after September 12, amounts for the hotel booking will not be refunded.
Total amount to be paid
Amount to be prepaid
Balance to be paid on spot
INVOICES
Name of Institution
Vat Reg.No
Country
Address
Email for receiving the invoice
example@example.com
If you wish for the invoice to be issued to an individual person, in the field Name of institution state name, surname, last name as in ID, in the field Vat Reg.No state PIN, in the field Address state the address of the person as in ID.

In case of not sent/not filled information within 5 days from the date of payment NEW EVENT is not responsible for issuing an invoice.

The data in this form will be used only for the purposes of the event. NEW EVENT is registered as administrator of personal data.

Up to date information about the Conference can be found on the website of NEW EVENT, as well as on the website of BAPPM

If you have any additional questions, regarding your participation, do not hesitate to contact us on the phones: +359 2 494 94 84; +359 2 494 94 89; +359 889 94 94 56 or through email: bappm@newevent.bg
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Conference: „Is HTA for Personalised Medicine products, personalized?“ Organized by BAPPM

REGISTRATION FORM

Forms of Participation

HOTEL ACCOMMODATION

PAYMENTS AND CANCELLATIONS

INVOICES