Registration form, Scand-LAS 2002, Gardermoen, Norway, 18th

Scand-LAS 2002, Gardermoen, Norway, 18th - 21st April
Registration Form

Last name: ___________________ First name: __________________ Mr. / Ms.

Institution / company: __________________________________________________

Address: _____________________________________________________________

Postal Code / City / Country: ______________________________________________

Telephone: ________________________ Telefax: _____________________________

Email: _______________________________________________

Name of accompanying person(s): __________________________________________

I am most interested in the [ ] English-language sessions [ ] Scandinavian-language sessions

I intend to submit an abstract for: [ ] a poster [ ] an oral presentation

(please send to: espen.engh@dyrehelsetilsynet.no by February 20th 2002)

Registration fees:
Full registration:

Until February 1st 2002 After February 1st 2002

Scand-LAS/NDTF members NOK 3,950 NOK 4,350 _________

Non-members NOK 4,350 NOK 4,750 _________

Accompanying persons NOK 2,750 NOK 3,050 _________

Please note that the full registration fees include the banquet on April 20th.

1- or 2-day registration (lectures, lunch & coffee only, NOK 1,200/day):

[ ] April 18 [ ] April 19 [ ] April 20 _________

Dinner for 1- or 2-day registration (NOK 350/day on April 18+19,

NOK 750 for the banquet on April 20): [ ] April 18 [ ] April 19 [ ] April 20 _________

Total amount to be paid: NOK ________

Estimated date and time of arrival: _______ ____ hrs.

Estimated date and time of departure: _______ ____ hrs.

Please send your payment in NOK by bank transfer to:

Account number: 0536 29 56589 in Den norske Bank, 0021 Oslo, Norway, SWIFT code DNBANOKK

Account address: Scand-LAS Symposium v/Jenny-Ann Hardie,

Amersham Health, P.O. Box 4220 Nydalen, N-0401 Oslo, Norway

Your payment MUST be marked with "Symposium 2002" AND your name.

Please send a copy of your receipt to Karina Smith as soon as possible.

Cancellation rates: 75% before March 1st 2002; 50% between March 1st and April 1st 2002: no refund after April 1st 2002.

Please remember that it is YOUR responsibility to book your accommodation and that your hotel bill must be settled in full on departure.

Please use the separate accommodation booking form and send it to:

Fjell og Fjord Konferanser A/S, Fax: +47 63 80 65 11. Questions concerning accommodation can be addressed to: Renate Amundsen (renate@fjellogfjord-konferanser.no), tel. +47 63 80 65 10.

This applies also to special dietary requirements.

Please post or fax this registration form to:

Karina Smith, Laboratory Animal Unit, Norwegian School of Veterinary Science,

P.O. Box 8146 Dep., N-0033 Oslo, Norway. Telefax: +47 22 96 45 35

Further information: karina.smith@veths.no or telephone: +47 22 96 47 53