Behind the Treatment
Biological Background
of Movement Disorders Therapy

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Registration Form

Registration - parkinson17

přihláška - parkinson17
Address for correspondence

I am interested in:

Accommodation is arranged in the Hotel Alley (single and double-rooms with bathroom, toilet and TV set are available), December 7-8, 2017 (1 night), contact to the Hotel Alley (www.hotel-alley.com, Tel.: +420-585 502 999). In case of the hotel requirements - please make your own reservations.

Please note, that the reservation at Hotel Alley is only preliminary and deadline for reservation is 31. 10. 2017, if you contact hotel Alley, it is necessary to mention that you are participant of “Parkinson 2017”.

Please mail a copy of your bank transfer order or photocopy of your bank cheque to jitka.hybnerová@upol.cz or by fax +420-585 222 802 as a confirmation of payment.
Payment should be made by 20 November 2017; after this date please make the payment of the conference fee in cash (we accept only Czech Crowns) at the registration desk.
Registration fee should be paid by bank transfer to: Komerční banka, a.s., Tř. Svobody 14, Czech Republic.
Account No: 19-1096330227/0100 code: 999021115
SWIFT code: KOMBCZPPxxx , IBAN: CZ0901000000191096330227
Name of account: Univerzita Palackého v Olomouci.

By submitting You agree with the use of your personal data for the symposium purposes.
Olomouc, December 7 – 8, 2017