Online Registration Form to LIFESTYLE, DIET, WINE & HEALTH

Personal information

*Name	*Tax ID No.
*Surname	Second Surname
*email
Address	*Town/City
Postcode	Province
Contact number	Work number
	*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.
Address	Town/City
Postcode	Province
Phone	Send invoice to the attention of:

Registration Fee

	Until September, 8th	From September, 9th
Without registration	0 €	0 €
Standard	300 €	400 €
Students **	0 €	0 €
Renaud Society	300 €	400 €

21% IVA included
** Applicants must attach to the registration form a scanned document which proves that they are a student.

When completing the form: Applicants must attach to the registration form a scanned document which proves that they are a student.:

TO CONFIRM REGISTRATION IT IS ESSENTIAL TO PROVIDE THE NAME OF THE ASSOCIATION YOU ARE A MEMBER OF:

TO CONFIRM REGISTRATION IT IS ESSENTIAL TO PROVIDE THE MEMBER’S ID CARD NUMBER.

Member’s ID Card No. (Enter the number without dashes or spaces between the numbers and letters)

Name of the Association

We also want to be sustainable with regard to achieving “Zero waste”, for which reason we try to adjust the Catering Services. Select any of the options below:

I will attend the conference all three days

I will attend the conference on July 5

I will attend the conference on July 6

I will attend the conference on July 7

I will only attend the conference the day I present my paper/short paper, moderate table or other

Discount code

Please note that the ticket options offered on this platform do not grant access to the social programme of the Congress.
If you are interested in receiving information about the social events, please check the box, and we will promptly respond to your inquiry.

Yes, I’m interested

No, I'm not interested

Workshop pre congress (MAX 40) 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

Hotel Ultonia

Double room for single use 110.36€

Double room 131.36€

Hotel Carlemany

Double room for single use 110.36€

Double room 121.71€

Hotel ciutat de girona

Double room for single use 118.28€

Double room 142.50€

Hotel Erba by pillow*

Double room for single use 71.51€

Double room 76.99€

Arrival date (click on the line to enter the date)

Departure date

Prices include breakfast and VAT

If you require accommodation please contact the Technical Secretariat

AESEC session Are you interested in the AESEC session?

Yes No

Are you currently doing your doctorate?

Yes No

Year of commencement of the thesis

Institution where he carries out the thesis

Year of completion of the thesis

Visit to the Aljafería Palace and welcome reception I will attend the visit to the Aljafería Palace and welcome reception:

Yes No

The welcome reception of the XL+1 Conference on Health Economics will take place on Wednesday, June 15, at the Aljafería Palace. The visit to the Aljafería Palace has a limited capacity and it is essential to register previously. You can only go to the welcome reception if you have previously participated in the visit to the Palace.

Social program Social program (50)

Yes No

Gala dinner Gala dinner (100€)

Yes No

I will be attending with a guest (60€):

Yes No

Please indicate if you have any dietary requirements, intolerances or allergies

Yes No

If yes, please specify.
If no, please write "N/A".

Totals Total Registration Fee in Euros Euros Nights

Accommodation in Euros Euros Total Price in Euros Euros

I've read and I accept Legal Notice and Privacy Policy exposed.

No es pot enviar el formulari si no es fa una inscripció o una reserva.

Online Registration closed.