IRBD 2011 Registrations

The 11^th International Review of Bipolar Disorders
4 - 6 April 2011, Rome, Italy.

Conference delegate rates:
Delegate Fees include entrance to the conference and all sessions, delegate materials and refreshments.
Fees do not include travel, accommodation or attendance at the Conference Dinner.

** (with no additional income)

Eastern European delegate rates:
Delegates based in the following countries are eligible for Eastern European delegate rates - Albania, Armenia, Azerbaijan, Belarus, Bosnia & Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia, Georgia, Hungary, Kazakhstan, Latvia, Lithuania, Macedonia, Moldova, Poland, Romania, Russia, Serbia and Montenegro, Slovak Republic, Slovenia, Ukraine and Uzbekistan.

Personal Details

Fields marked with a * are required in order to submit the Registration

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Family Name* : A value is required.

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Post Code* : A value is required.

Country* : A value is required.

Email* : A value is required.Invalid format.

Telephone* : A value is required.

Fax :

How did you hear about IRBD?* : -- Select Referrer -- Conference Website Email Recommendation Journal Advertisement Leaflet at another event Invitation Please select an item.

Booking Type

Type : Individual Group Bursary

Group Booking Details

Category* : -- Select Booking Category --/nIndividual - £400\mEastern European Delegates - £300\mPsychologists - £140\mFirst Year Interns - £200\mUndergraduate Medical Students - £65\m

Number of people* :

Amount Payable £GBP :

Upload Group List : Now Later

Please upload a list of the members of your group including Full Name and Email address in the following format: Microsoft Excel Spreadsheet

Group List* :

Individual Booking Details

Category* : -- Select Booking Category --/nIndividual - £400 Eastern European Delegates - £300 Psychologists - £140 First Year Interns - £200 Undergraduate Medical Students - £65

Amount Payable £GBP :

Bursary Booking Details

Category* :

Amount Payable £GBP :

Method of Payment

Pay by : Credit Card Cheque Bank Transfer Bursary

This option must only be selected if you have a valid BURSARY Code
All Bursary Registrations will be manually checked to ensure they are valid

Credit / Debit card payments are made via our Secure Payment Providor.
Selecting this option will direct you to their secure payment form.

Send cheque to:
IRBD c/o Cortex, Lion House, 51 Sheen Lane, London, SW14 8AB, UK
Cheques should be made payable to Cortex Congress Limited.
Please write the conference name (IRBD 2010) and the delegate'(s') family name(s) on the back of the cheque

Beneficiary Account Name: Cortex Limited
Beneficiary Account #: 053833
IBAN: CY8111501001053833USDCACC001
Beneficiary Bank: FBME Bank Limited, Nicosia, Cyprus
SWIFT/BIC: FBMECY2N.

Correspondent Bank: Deutsche Bank AG, London, UK
SWIFT/BIC: DEUTGB2L
Account #: 0318050 0000 GBP 000 LDN

Please quote the conference name (IRBD 2011) and the delegate'(s') family name(s) when making the bank transfer so your payment can be identified

Human Verification

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