Please download registration form or register online.
First Name: Last Name:
Company: Position:
Mailing address: Postal Code:
City/State: Country:
Tel : Fax: E-mail:

Name of Accompanying Person, if applicable:


(incl admission to pre-conference workshop, conference sessions and all social programs)
AFM Full Members (1) complimentary
Early-bird AFM Associate Members (2) EUR 300
Regular AFM Associate Member (3) EUR 500
Early-bird Non-Member (4) EUR 500
Regular Non-Member EUR 700
Accompaning Spouse (5) EUR 150
Registration Fee Total:

1) Max. two representatives. Additional representatives must sign up at Associate Member rates
2) Reduced registration fee available only to registered AFM Associate Members, payment must be received by January 15, 2012. Full Members attend free of charge (max. 2 representatives)
3) Reduced registration fee available only to registered AFM Associate Members after January 15, 2012.
4) To qualify- registration fee must be received by January 15, 2012.
5) Includes admission to welcome and gala dinner, and farewell program. Available only to accompanying spouses and partners.

Social Programs: Will you join us for?

Pre-Conference Day: Surveillance (Wed): yes no   |   Partner: yes no 
Welcome Dinner (Wed): yes no   | Partner: yes no
Gala Program (Thursday): yes no   | Partner: yes no
Farewell Program (Fri): yes no   | Partner: yes no


Payment Methods:

IMPORTANT: Please make sure to include complete payment information to assure proper processing.

1. By bank transfer.

Name of Bank: Kereskedelmi és Hitelbank Rt.
City, Country: Budapest , Hungary
Address: Október 6. u. 7., Budapest 1054
Account No. 10402166-49485148-48541030
IBAN No. HU41 1040 2166 4948 5148 4854 1030


2. By credit card.

Charge to: Visa MasterCard American Express

I hereby authorize to debit from my credit card account the total amount of Euro:
Card Number: Expiration Date (Mo/Yr):
Control Number (last three digits on back of your credit card):
Cardholders Name:
I hereby accept the conditions stated in this form.
Billing address:
Postal Code: City / State:
Country: Tel:

Cancellation Policy:

Refunds of registration fees, less EUR 50 administrative charge, will be applied to written cancellation requests received before February 10, 2012. No refunds will be given for cancellation requests received after February 10, 2012. All refunds will be processed only after the conference closing date.