APPLICATION FORM

TITLE……………………………..……..……

SURNAME………………………….……….

FIRST NAME…………………………….…..

POSITION……………..……………………..

SPECIALITY………………………….…..…

ADDRESS………………………………………………………………………………………………………………………………………………………………………………………………..………………..

TELEPHONE……………………..…………..

FAX…………………….…………………..…

EMAIL…………………………………..…….

SUBMITTING

ABSTRACT YES / NO

POSTER YES / NO

TITLE……………………………….……..……………………………………………………….

I enclose a cheque for $………………..…..

Cheques should be in US dollars and made payable to "Society of Cryosurgery"

Name of others with an interest in cryosurgery ………………………….………. …………………………………………………………………………………………………..

Contact Details

To Register a place at the meeting or send an abstract or poster submission;

International Society of Cryosurgery

Harefield Hospital

Harefield

Middlesex

UB9 6JH

UK

Tel Fax 00 44 1895 828528

Email cryotherapy @rbh.nthames.nhs.uk

http://www.rbh.nthames.nhs.uk/cryosurgery

To Book Hotel or University Accommodation

Accommodation Link

Imperial College Conference Link

Prince's Gardens

South Kensington

London, SW7 1LU

UK

Telephone 00 44 20 7594 9507 /11

Fax 00 44 20 7594 9504 /5

Email

http://www.imperialcollege-conferencelink.com

Board of Directors

M.O Maiwand, G Graham, F Lugnani, N Korpan,
D Buckley, R Ablin, JA Amaro, M Bellangeon,
A Dellbello, C D'Hont, G Fontana, A Gad,
A Gage, JCA Gonçalves, R Herzog,
JP Homasson, R Jean Françcois, D Luna Sabaté, S Moraitis, G Onik, M Peralta, M Pezek,
G Prokhorov, Y Robience, S Sumida,
E Turjansky, A Weshahy, F Zhao, J Zharkov,
U Zoras, C Zouboulis.

COMBINED MEETING

OF THE

INTERNATIONAL

AND

EUROPEAN SOCIETIES

OF

CRYOSURGERY

Thursday 11th and Friday 12th September 2003

Huxley Building

Imperial College

University of London

South Kensington

London, UK

Incorporating the Association of British and Irish Cryosurgery

ACCOMMODATION

There are two types of accommodation available to delegates, Local hotels and high quality university accommodation.

Local Hotels

There are a number of local hotels within a short distance of the conference venue. The Imperial College Accommodation Link can give up to 35% discount on these hotels. Details can be obtained from the office or their website.

http://www.imperialcollege-conferencelink.com

Please book early as hotel accommodation in London can be limited.

University Accommodation in Beit Hall

Situated two minutes walk from the Conference Venue. There are a limited number of rooms available, particularly en suite, so please book early. There is no smoking in the building or bedrooms.

Single Room with wash basin including full English breakfast £43.00

En-suite Single Room including full English breakfast £59.50

Ensuite Twin occupancy bedroom including full English breakfast £78.00

Please note that for Beit Hall, breakfast is served in the conference building (2min walk).

Rooms at Beit Hall are very limited so please book as early as possible.

All accommodation is booked through the Imperial Conference Link (see back page) and is not the responsibility of the society.

SUBMISSION OF ABSTRACTS

Abstracts for oral and poster presentations, for review, should be submitted by 30th May 2003.

Scripts should be typed in Times New Roman or Arial font, with a minimum font size of 10 point and should fit on one side of A4.

Titles should be in Bold with authors and the name and address of their institution underneath.

Abstracts can be submitted by post, or Email attachments, preferably Microsoft Word.

CONFERENCE FEES

The fees for the congress are given below and include entrance to the meeting, abstract book, tea and coffee, lunch on Thursday and Friday and an evening Dinner on Thursday.

Accommodation should be booked separately.

Payment by 30/5/03 $250

Payment after 30/5/03 $300

Payment for Companies $1000

Please send cheques (in US dollars) made payable to "Society of Cryosurgery"

Society of Cryosurgery

Harefield Hospital

Harefield, Middlesex,

UB9 6JH, UK.

Payment can also be made by bank transfer. Please contact the society for details.

COMBINED MEETING OF THE INTERNATIONAL AND EUROPEAN SOCIETIES OF CRYOSURGERY

11thand 12th September 2003

IMPERIAL COLLEGE, LONDON, UK

The next meeting of the International and European Societies of Cryosurgery is being held in London at Imperial College, part of the University of London.

The Imperial College campus is situated in South Kensington, and is just a short walk from such landmarks as the Royal Albert Hall and the Science, Natural History and Victoria and Albert Museums and also Hyde Park and Harrods Department store. The other famous sights of London are a short journey (around 10 minutes) by underground.

There are plenty of local hotels and also high quality, hotel standard, university accommodation available.