ECVO Annual Scientific Meeting
23 – 26 May 2019 in Antwerp, Belgium

Payment of Annual Membership Fee (ECVO Diplomates only)

Conference Office:
CSM, Congress & Seminar Management
Industriestr. 35
82194 Groebenzell / Munich
info@csm-congress.de
+49 (0)8142-57 01 83
+49 (0)8142-5 47 35
www.csm-congress.de, Imprint

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A private person NOT having a VAT number
An entrepreneur, a company or an institution having a VAT number (activated for intra-European purchases)


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Payment of Annual Membership Fee (ECVO Diplomates only)
Active Diplomate (Please note that the membership fee will increase to 400 EUR after 24 May 2019)
Payment
ECVO Membership
Total

Your registration will be confirmed by e-mail after the receipt of payment.

Credit Card Number
Expiration Date /
Card Verification No.
Cardholder's Name

Please transfer the total amount within 14 days to the following account of the conference office CSM, which acts on behalf of the organizer:
CSM, C. Schroettenhammer
Bank: HypoVereinsbank Muenchen
IBAN: DE09 7002 0270 1720 3428 00, BIC/SWIFT: HYV EDE MMX XX
Please remit your payment in EUR.
All bank fees must be covered by the sender.
Please indicate the name of the participant and the reference code 'ECVO membership fee'.


Conference Organizer: European College of Veterinary Ophthalmologists (ECVO), www.ecvo.org