REGISTRATION FORM

28th Workshop of the Scandinavian Society for Cell Toxicology

Hotel Scandic Rosendahl,Tampere, Finland,

September 21-23, 2011

To register for the workshop, please complete this form and return it as an e-mail attachment before June 15, 2011. E-mail should be sent to , in the "subject" please indicate "28 SSCT".

In case of any question, please contact

______

Family and first name:

Institution:

Phone: Fax: E-mail address:

Member of SSCT or Fincopa: Non-member of SSCT or Fincopa:Student:

Participation in full meting:Participation in one day: Day:

Vegetarian Vegan Other Please specify:

______

Title(s) of presentation(s):

Author(s):

oral presentation poster no presentation

______

Workshop fee

The registration fee 290Eur for SSCT or Fincopa members and 330 Eur for non-SSCT or non-Fincopa members covers free admission to all parts of the scientific, abstract book, refreshments during coffee breaks, get-together party and banquet. It is possible to attend only in one day with a cost of 140 Eur. The registration fee should be paid before June 15, 2011. The registration will be possible after June 15, 2011 with the registration fees 390Eur and 430 Eur, respectively. Fee for students is 180 Eur.

SSCT- and Fincopa member, before June 15, 2011: 290 €

Non-SSCT-and non-Fincopa member, before June 15, 2011: 330 €

SSCT-and Fincopa-member, after June 15, 2011: 390 €

Non-SSCT and non-Fincopa-member, after June 15, 2011: 430 €

Student: 180 €

One day registration: 140 €

The Registration fee should be transferred to the 28th SSCT Workshop account:

Name of bank: Sampo Pankki Oyj, Hämeenkatu 9, 33100 TAMPERE

Account holder: SSCT WORKSHOP 2011

Account number: 833007-10348768

IBAN number: FI9783300710348768

BIC code: DABAFIHH

The registration fee does not cover accommodation. However, the organisers have been pre-booked hotel rooms in Scandic Rosendahl (lower price than normal). Please see Hotel info in the Programme.

SSCT members non-members

No accommodation needed (only workshop)

Single room (with bath)330 €360 €

Single room (without bath)260 €290 €

Double room (withbath)310 €340 €

Double room (without bath)250 €280 €

Name of room-mate in double room (if known):

In case you would like to arrange accommodation for accompanying person, please, contact Workshop Secretariat.

Registration is valid from the date of payment and registration will be confirmed directly. Cancellations should be sent to (E-mail: ).

Transportation

Muuta!!!!

Local Organizing Committee will organize transport of participants from/to Prague airport and Turnov railway station. The cost of this transport is included in the workshop fee. Please indicate if you need this help and give details of your arrival and departure.

Do you need assistance with transportation?

Yes No

Date and time of your arrival:

Place of arrival: Prague airport Turnov railway station

Date and time of your departure:

Place of departure: Prague airport Turnov railway station