Online Registration Form to XXXVI edición de las Jornadas de Economía de la Salud

Online Registration Form

*Name	*Tax ID No.
*First Surname	*Second Surname
*email
Adress	*Town/City
Postcode	Province
Contact number	Work number
Fax	*Workplace

Contact Details (email) email You will receive the confirmation and invoice at this email address *

Invoicing Details

Name/Company Name (Name of the person the invoice will be sent to)	Tax ID No.
Adress	Town/City
Postcode	Province
Phone	Send invoice to the attention of:

Registration Fee

	Price
AES members, new AES members	400 €
Associate members*	400 €
Non-AES members	510 €
Student** AES members	150 €
Student** associates*	150 €
Student** non-AES members	200 €

21% VAT included
*: Members of any association with which the AES holds a valid agreement are considered associates, as are members of any association that belongs to the Spanish Society for Public Health and Health Administration (SESPAS). All such associates must justify their membership in the association in question by sending a scanned copy of a document proving their membership (certificate, invoice, etc.) to the Conference Technical Secretariat (jornada@aes.es).

**: When completing the form: It is essential to attach proof of student status to this form. Please attach.

The registration fee includes: session attendance, documentation, coffee, working lunches, welcome reception and conference dinner.

Workshop pre congress Participants who are registered for the 36th Health Economics Association Conference 30€.
Students who are registered for the 36th Health Economics Association Conference may attend free of charge 0€.

Yes No

Accommodation Rates

If you require accommodation please contact the Technical Secretariat

Dinner I will be attending the conference dinner:

Yes No

Dietary requirements

Yes No

Totals Total Registration Fee in Euros Euros Nights

Accommodation in Euros Euros Total Price in Euros Euros

Registration and accommodation Cancellation Policy

If a request is made to cancel a registration after it has been confirmed, given the problems this creates for the Conference organisers, AES will retain part of the registration fee. The amount retained will vary according to the date on which the cancellation is requested. Specifically, if the cancellation is requested:

Before 30 April (inclusive), 25% of the fee will be withheld and the remainder refunded once the conference has ended.
Between 1 May and 21 May (both inclusive), 50% of the fee will be withheld and the remainder refunded once the conference has ended.
After 21 May, 100% of the fee will be withheld.

Similar to the policy set out for registration cancellation, the cancellation of a room booking in the hotels contracted by AES for accommodating conference attendees will result in withholding the amount paid, according to the following schedule:

Before 26 February (inclusive), the booking may be cancelled with a full refund.
Between 27 February and 28 April (both inclusive), 50% of the booking amount will be withheld and the remainder refunded once the conference has ended.
After 28 April, 100% of the amount will be withheld.

Your data will be processed confidentially and added to the ASOCIACIÓN DE ECONOMÍA DE LA SALUD database. As organiser and coordinator of the congress, the TECHNICAL SECRETARIAT will use the data provided by the participant for the sole purpose of processing the registration and/or booking accommodation. In accordance with Spanish Organic Law 15/1999 on Personal Data Protection, congress participants have the right to rectify or cancel the information provided at any time by sending their request to the following address: C/ Bonaire, 7 - 08301 Mataró - Barcelona. ASOCIACIÓN DE ECONOMÍA DE LA SALUD.

Online Registration closed.