AIU Grindelwald 2019

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Your attendance is only confirmed upon payment by credit card.

Voucher for Speakers/Chairs/Invited Guests

Title

First name
Last name

Institution
Location

Address

Postal / Zip Code

City

Country

Phone

Email

Convention Fees

	Member SSAI	CHF 350.00
	Non-Member SSAI	CHF 600.00
	Assistant	CHF 150.00

Accompanying Person Please note that the price for an accompanying person reflect the explicit costs for meals and accommodation and is not supported by our sponsors.
I wish to bring an accompanying person CHF 400
First name
Last name

Please indicate the nights you require accomodation Friday, January 25^th, 2019
Saturday, January 26^th, 2019

Please choose your preferred hotel No Hotel
Hotel Sunstar (full)
Hotel Kreuz&Post (full)
Hotel Steinbock
Hotel Hirschen
Hotel Alte Post (full)

Please choose type of room Single
Double Room Single Occupancy
Double Room Double Occupancy

Meals Please indicate the meals you want to attend (all meals are included in the convention fees)
Friday, January 25^th, 2019, Dinner
Saturday, January 26^th, 2019, Lunch
Saturday, January 26^th, 2019, Dinner
Please choose your preferred menu for the Saturday night dinner.
menu with meat
menu with fish
vegetarian menu
Please choose the preferred menu for the Saturday night dinner for your accompanying person.
menu with meat
menu with fish
vegetarian menu

Please Confirm I have read the cancellation policy
I have read and agree to the General Terms and Conditions

I agree that my name will appear on the participation list:
Yes: | No:

Total Price

Workshop Session 1: All workshops will take 50 minutes and are given twice with a short break
Timeslot1	Timeslot2
		No workshop
		Workshop 1: Angioedema – differential Diagnosis and Treatment	Urs Steiner, Zurich
		Workshop 2: Specific Immunotherapy in Patients with Food Allergy	Caroline Roduit, St.Gallen
		Workshop 3: Nasal endoscopy	Dominik Harder, Chur (fully booked)
		Workshop 4: Immediate life support and anaphylaxis (ERC ILS-Refresher) This workshop takes 2 hours and has limited slots.	Department Anesthesia, Inselspital Berne (fully booked)
Workshop Session 2: All workshops will last 50 minutes and are given twice with a short break.
Timeslot1	Timeslot2
		No workshop
		Workshop 5: Drug hypersensitivity in children	Jean-Christoph Caubet, Geneva
		Workshop 6: Mastocytosis	Karin Hartmann, Lübeck/Basel
		Workshop 7: Allergy Blood Testing - more brings more	Oliver Hausmann, Berne/Lucerne
		Workshop 8: United airways disease	Christophe Von Garnier, Berne

	Single Room	Double Room
Hotel Sunstar	300.00	320.00
Hotel Kreuz&Post	200.00	220.00
Hotel Hirschen	200.00	220.00
Hotel Steinbock	200.00	220.00
Hotel Alte Post	200.00	220.00

Workshop Session 1: All workshops will take 50 minutes and are given twice with a short break

Workshop Session 2: All workshops will last 50 minutes and are given twice with a short break.