RAD-19 Online Registration Form

Please fill in the necessary information. The required fields are marked with stars. After submission, you will be directed to your permanent online payment page.

Participant

Title *

First Name *

Middle Name Initial(s)

Surname/Family Name *

Gender *

E-mail *

Phone Number

Mobile Number

Fax Number

Affiliation *

Company

Institution

University

Name of Affiliation *

Food Preference

Postal Address *

Postcode

Country *

State

City *

Accompanying Person(s)

1^st Title

First Name

Middle Name Initial(s)

Surname/Family Name

Gender

2^nd Title

First Name

Middle Name Initial(s)

Surname/Family Name

Gender

3^rd Title

First Name

Middle Name Initial(s)

Surname/Family Name

Gender

Payment

Description	Quantity	Unit Price	Total Price
Registration Fee		550	0
Student Registration Fee		250	0
Social Dinner at Titania Hotel		50	0
GRAND TOTAL:			0

The fees for both delegates and students cover participation in all technical sessions, a welcome reception, lunches (during symposium), proceedings, coffee breaks, but does not include airport transports, sight-seeing tours and trips. In case of cancellation after the payment, 100 EURO will be deducted from the registration and the rest will be reimbursed. In case you wish to make a payment with a credit card of a Turkish Bank, you may do so only in Turkish Liras. Please contact us (ichmt@ichmt.org ) to learn about the details of our TL bank account.

I acknowledge that I have read and agreed to all of the above information as well as the registration cancellation policy and warrant all information given above is true.