Delegate Registration Form

DELEGATE REGISTRATION FORM

Please complete the registration form:

Title *

Name (as you would like it to appear in your name badge and certificate of participation) *

Organisational Affiliation *

Address *

Country *

Email *

Will you attend the Special Session: “The management of psychosocial risks: good practices and successful models" *
Yes
No

Are you willing to Chair a paper session at the conference? *
Yes
No

Choose the appropriate registration fee. If you wish to register for the conference dinner, click on the continue shopping icon in the secure gateway (pop-up window).

Delegate Registration Fee: EAOHP Member	€340.00
Delegate Registration Fee: Non Member	€420.00
Delegate Registration Fee: Student	€200.00
Delegate Registration Fee: Developing countries (As defined by the World Bank)	€200.00
Delegate Registration Fee: Day rate (available only to delegates not presenting and in exceptional cases authors who have 'immigration visa' limitations). Please specify date at checkout	€125.00
Conference Dinner (Roof Garden Restaurant “Les Etoiles”)	€75.00	SOLD OUT

Proceed to Checkout:

Payment can be made by Debit/Credit cards on the secure payments gateway (there is no need to have a paypal account). All payments are fully secure and neither PayPal nor the EAOHP will store your payment details.

European Academy of Occupational Health Psychology