Registration Registration FormPlease fill in the below form to register for the workshop "Introduction to Whole Genome Sequencing and Analysis for Microbial Diagnostics" 19th-21st (22nd) March 2018. PLEASE NOTE that by signing up for the 3 first days of the workshop (19th-21st March 2018) you agree to pay the workshop fee: EUR 795+VAT. If you also sign up for the 4th day (22nd March 2018), you agree to pay additionally EUR 385+VAT. It is also possible to sign up only for the 4th day (22nd March 2018), in which case you agree to pay EUR 385 + VAT. If you further wish to book a hotel room on Hotel Rungstedgaard, EUR 135 + VAT per night will be added to the fee.Username *E-mail *Confirm E-mail *Password *Confirm Password *Weak PasswordPassword not enteredStrength IndicatorFirst name(s) *Please enter your first name(s)Last name(s) *Please enter your last name(s)Job title *Please enter your current job titlePlace of work *Where do you work?VAT number *Please provide the VAT number of the organisation/company you work forEAN numberFor Danish public organisations (e.g., hospitals), please provide the EAN no.Other mandatory numbersIf your organisation requires other mandatory numbers to be written on the invoice, e.g., a Purchase Order or Department number, please write it hereaddressStreet AddressAddress Line 2CityState / Province / Region Zip / Postal CodeSelect CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweCountryPhone no.Special dietary needsPlease let us know if you have any special dietary needsDo you wish to participate in the workshop from 19th-21st March 2018? *The regular part of the workshop is limited to 24 peopleDo you wish to participate in the workshop dinner on 20th March? *This question only applies to participants of the regular workshop from 19th-21st MarchDo you wish to participate on the 22nd of March, analysing your own WGS data? *Participation this day is limited to 8 people and requires that you bring your own WGS dataDo you wish to book accommodation at Hotel Rungstedgaard from 18th-21st of March?Do you wish to book accommodation at Hotel Rungstedgaard from 21st - 22nd of March?I agree to the terms and conditions for signing up for this workshop. *Workshop Terms and Conditions. Registration and Payment: By registrering for the workshop, you agree to pay in full the workshop fee (EUR 795+VAT for early birds, otherwise EUR 895+VAT for day 1-3. Additionally EUR 385+VAT for early birds, otherwise EUR 435+VAT if signing up for day 4). If you have booked hotel, you further agree to pay in full EUR 135+VAT per night. An automatic order confirmation will be sent out by email, which will confirm your booking. Cancellation and Refund Policy: Full refunds of all monies paid will be made if a workshop is cancelled by us, or if the workshop is re-scheduled and you are unable to attend the new date. Cancellation by participants must be made in writing by email. If you cancel your paid booking prior to five (5) weeks of the workshop’s first day, the workshop cost including hotel, if applicable, will be refunded less 25%. No refund is available if you cancel within five (5) weeks of the workshop date. Liability: GoSeqIt is not responsible for any other costs which workshop participants may have incurred including but not limited to travel, car rental, and/or insurance. Workshop Schedule and cancellation policy: All workshop schedules and plans may be subject to change at our discretion should conditions necessitate. We reserve the right to cancel any aspect of the workshop due to exceptional circumstances. In the event that we deem it necessary to cancel the workshop, we will provide a full refund of all monies paid, which the participants acknowledge as full and final settlement. In the event of a workshop cancellation by GoSeqIt, liability of GoSeqIt to participants shall be limited to the total value of the workshop plus hotel, if applicable. Neither party shall be liable for indirect or consequential loss. Your Agreement to this Contract: In reserving a place on the workshop by paying the workshop fee, you are agreeing to accept all the above conditions.