ECVO Annual Scientific Meeting
15th - 18th May 2014 in London, UK


Payment of Annual Membership Fee
for ECVO Diplomates


CSM, Congress & Seminar Management
Industriestr. 35
GERMANY - 82194 Groebenzell
Telephone: ++49 - 8142 - 57 01 83
Fax:  ++49 - 8142 -   5 47 35

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Conference Registration with optional payment of ECVO Annual Membership Fee

Payment of ECVO Annual Membership Fee only
I am happy to receive information from the exhibiting and sponsoring companies via the contact details provided on this form.
Continuing Education (CE) (Thursday, 15th May)
Registration & Payment Total
until 31st March 2014 from 1st April 2014

CE "Ocular Surgery" only
(I am not registering for Main Program)
completely booked
CE "Ocular Surgery"
(I am also registering for Main Program)
completely booked
Main Program
(Friday and Saturday, 16th - 17th May)

The registration fee includes:
- Admission to all lectures of the main conference
- 1 printed copy of the conference proceedings
- Refreshment breaks and lunch
       CLOVE ECVO-recognised Eye Scheme Examiner
405 EUR 455 EUR
Non-Member 455 EUR 505 EUR
Resident* / Intern* / Student* 
*Please send a document certifying your status to CSM.
260 EUR 280 EUR
MasterClass (Sunday, 18th May, 8:00h – 12:30h) 100 EUR 110 EUR
MasterClass plus Wetlab
(Sunday, 18th May, 8:00h – 17:15h) Including lunch
completely booked

Social Activities
Welcome Reception at One Great George Street
(Thursday, 15th May, 19:00h – 20:30h)
25 EUR p. ticket
(drinks and snacks)
Conference Dinner at Shakespeare’s Globe
(Friday, 16th May, from 19:30h, incl. free access to museum)
100 EUR p. ticket
(dinner & wine, entertainment and dance)


Payment of Annual Membership Fee (ECVO Diplomates only)
Active Diplomate
(Please note that the membership fee will increase to 200 EUR after May 18th, 2014)
150 EUR

Credit for Committee Reimbursement for Members of ECVO Committee(s) members
Committee reimbursement fee
I am attending the Committee Meeting on May.
Credit 200 EUR
CSM will issue a detailed confirmation after receipt of payment
Total amount in EURO
Please transfer the total amount to the following account:
CSM, C. Schroettenhammer
Bank: HypoVereinsbank Muenchen, Karlsplatz 7, 80335 Muenchen, Germany
IBAN: DE09 7002 0270 1720 3428 00

- Please remit your payment in Euro.
- All bank fees must be covered by the sender.
- Please indicate the name of the participant and the code “ECVO London”.
Alternatively we can charge your credit card with the total amount:          verisign
  v m a
  Credit Card No. Expiration Date /
  Card Verification Number (Info) Cardholders Name

Individual Remarks :

Terms of Registration:
All conference cancellations must be made in writing to the congress office CSM. Cancellations received by 31st March 2014 are entitled to a full refund, less a handling fee of 60 Euro. Cancellations received by 1st May 2014 are entitled to a 50% refund.
No refunds can be made after 1st May 2014.
The conditions of this registration are hereby fully accepted

Hotel Reservation:

Please make your hotel reservation via
In case of any changes or cancellations of your reservation, please contact Zibrant directly.
Zibrant Booking Team, email:

Organiser: European College of Veterinary Ophthalmology