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Participant

Title *

Dr.

First name *

Last name *

Full name as it should appear on your badge: *

Organisation/Company *

Function *

Country *

Email address *

Telephone number *

Arrival date *

Month

Day

Year

Departure date *

Month

Day

Year

Special requirements

Please indicate below any special requirements you have (i.e. disabled access, late arrival, dietary requirements, etc.)

Accommodation

*BOOK YOUR DISCOUNTED RATE NOW*

We're pleased to share that GIRP has secured exclusive discounted rates for conference attendees at the luxurious Hotel Dubrovnik Palace. Nestled on the scenic seafront between a pine forest and the turquoise coastal waters of the lush Lapad peninsula, this contemporary resort offers breathtaking views of the Elafiti Islands from every angle.

Enjoy direct access to a serene private beach, two outdoor pools, an indoor pool, and a PADI diving center. The hotel also boasts a tennis court, jogging paths, and walking trails through the picturesque woods of Petka Hill. Just a short drive from Dubrovnik Old Town, the location also provides the perfect backdrop for capturing stunning photos.

How to Book Your Stay:

Visit the website www.adriaticluxuryhotels.com.
Select the *Book Your Stay* option.
Choose Hotel Dubrovnik Palace as your accommodation.
Enter your period of stay.
Input the special promo code *AMC2025* in the designated area to access your discounted rate.

Registration Fee

The conference registration fee includes participation in the social programmes but excludes travel and accommodation.

Fees *

EARLY BIRD Member rate - 1750 €

EARLY BIRD Non-member rate - 1950 €

Invoice Address*

*Please indicate to whom and to which address GIRP should the invoice.

VAT Number*

* Should you need your organisation's VAT Number featured on the participation invoice, please indicate the number here above.

Registration fees have to be settled prior to the conference by:

International bank transfer

Please make your bank transfer payable to GIRP, bank account number N° 210-0831484-52 at the BNP Paribas Fortis Bank, Place Andrée Payfa-Fosseprez 7, 1170 Watermael-Boitsfort, Belgium.
BIC: GEBABE BB
IBAN: BE64 2100 8314 8452
Reference: Participant’s Name and Surname, GIRP AMC 2023

PayPal

In this case please provide the email address where we can send the payment request.

PLEASE FILL IN THIS FORM PRIOR TO 15 MAY 2025.

I accept the GIRP event terms and conditions *

Yes

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International bank transfer

PayPal

PLEASE FILL IN THIS FORM PRIOR TO 15 MAY 2025.

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