28-29 June 2013 - Dr. Falk Pharma GmbH

P R O G R A M M E
3. International Symposium on
Complications in
GI-Endoscopy
28-29 June 2013
Maritim Airport Hotel Hannover, Germany
Honorary President
Meinhard Classen, Munich
28-29
June
2013
Under the patronage
of the ESGE
This course is
endorsed by the
American Society
for Gastrointestinal
Endoscopy
Course Director
Peter N Meier, Hannover
Scientific Committee
Lars Aabakken, Oslo
Ian Gralnek, Haifa
Rob Hawes, Orlando
Helmut Messmann, Augsburg
Christa Meyenberger, St. Gallen
Thierry Ponchon, Lyon
Krish Ragunath, Nottingham
Nageshwar Reddy, Hyderabad
State of the Art Lecture
Christopher Williams, London
www.complications-in-endoscopy.com
Certified and
CME credits by
the EBGH
Under the
patronage of the
German Society for
Gastroenterology
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Date of information: 02/2012
28-29
June
2013
3. International Symposium on
Complications in
GI Endoscopy
Contents
Let’s talk about it – again!
4
Programme Friday, 28 June 2013
6
Working groups, congress dinner
7
Programme Saturday, 29 June 2013
8
Poster session, call for abstracts
10
Registration, evening programme,
meeting venue, accommodation,
congress language, travel information,
contact
12
Faculty
14
Course Director
Dr. Peter N. Meier, FASGE
Director of the Department of Internal Medicine II
Gastroenterology, Endoscopy, Metabolic Diseases
Diakoniekrankenhaus Henriettenstiftung gGmbH
Schwemannstr. 17
30559 Hannover
Germany
www.complications-in-endoscopy.com
3. International Symposium on Complications in GI Endoscopy
Preface
Let's talk about it –
again!
Dear friends and colleagues,
Being committed endoscopists, we are all concerned that even minor
invasive procedures may have side effects which might result in a socalled complication. The constant evolution, not only of imaging but
also of invasive or surgical concepts, requires a permanent process of
reflection.
As in previous years, the aims of the symposium are to
identify critical incidents and complications
communicate unforeseen events
develop strategies to avoid or minimise complications
demonstrate therapeutical measures for the eventuality of a
complication
which we will discuss under technical, procedural, ethical, psychological
and legal aspects.
A highlight of our symposium will be the state-of-the-art
lecture by Prof. Christopher Williams. Christopher Williams
is not only a globally reputed developer of endoscopic
techniques but also the grandseigneur of colonoscopy.
We are honoured that Christopher Williams accepted our
invitation and allows us to share his lifelong experiences
during his lecture on quality and safety in colonoscopy.
4
28-29 June 2013
Honorary president of the 3. International Symposium on
Complications in GI Endoscopy is Prof. Dr. Drs. h.c.
Meinhard Classen.
Meinhard Classen’s importance for modern endoscopy is
legendary, he influenced therapeutic endoscopy like no one
else, for example, via the introduction of ERCP and EPT. He
received prizes for his scientific work all over the world, and
we are proud that he accepted to be honorary president of
this symposium.
Very special thanks go to the members of the Scientific
Committee who put a lot of personal engagement in helping to select
topics and renowned speakers to make this
symposium a useful tool for every endoscopist
Scientific Committee
in his every-day clinical work.
Lars Aabakken, Oslo
Ian Gralnek, Haifa
Rob Hawes, Orlando
Helmut Messmann, Augsburg
Christa Meyenberger, St. Gallen
Thierry Ponchon, Lyon
Krish Ragunath, Nottingham
Nageshwar Reddy, Hyderabad
The Scientific Committee and I invite you to
come to Hannover on 28 and 29 June 2013,
listen to the experts’ lectures and share your
experiences with the other participants in our
working groups. We especially encourage you
and your co-workers to send in relevant
abstracts. Selected abstracts will be presented
as lectures in the main programme, all others
will be presented in the poster exhibition.
Looking forward to meeting you in June 2013!
Preface
Peter N. Meier, FASGE
5
3. International Symposium on Complications in GI Endoscopy
Programme Friday, 28 June 2013
Programme
10:00 – 10:30
Welcome coffee in the foyer
10:30
Welcome
P. Meier
M. Classen
10:40
Welcome address of the President elect
of the German Society for Surgery
J. Jähne
10:45 – 12:45
Session 1: Basics and communication
Chair: J. Jähne, A. Meining, T. Ponchon
10:45
Quality measurements to prevent
complications
K. Mergener
11:05
Responsibility and personality:
human factors
K. Ragunath
11:25
Can over- and undertreatment
result in complications?
J. Weber
11:45
Behaviour and guilt: How to behave
correctly in case of a complication
J. Beer
12:05
My worst case
H. Neumann
12:15
Discussion
12:45 – 13:45
Lunch buffet
13:45 – 15:45
Session 2: Technology and general conditions
Chair: M. Dinis-Ribeiro, H. Feußner, H. Messmann
13:45
My worst case
J. Pohl
13:55
Stenting: from blessing to curse
P. Siersema
14:15
Endoscopy in patients with advanced
tumor diseases: Hazard or benefit?
T. Seufferlein
14:35
Electrosurgery: Dangers and pitfalls
G. Csomós
14:55
Endoscopic repair of mucosal defects
G. Kähler
15:15
Selected poster abstract
to be announced
15:25
Discussion
15:45 – 16:30
6
Coffee break
28-29 June 2013
16:30 – 18:00
Session 3: Working groups
On Friday afternoon, we offer working groups for intensified discussion of
complications arising in some main endoscopic procedures. In addition,
we offer a working group for endoscopy nurses in German language.
Together with the experts you will work out the status quo, typical and
common complications and possible ways of minimising or preventing
complications. A summary of the results of each working group will be
reported to the plenum on Saturday morning.
The working groups take place in parallel sessions, so please enroll for
one topic only with your registration:
1. EMR/ESD/NOTES
Chair: J. Hochberger,
K. Lehmann, N. Reddy
4. Instruments and accessories
Chair: H. Feußner,
T. Ortmaier, R. Tamm
2. Colonoscopy
Chair: H. Messmann,
G. Rotondano, F. Schreiber
5. EUS
Chair: M. Barthet,
C. Meyenberger, H. Neye
3. ERCP
Chair: L. Aabakken,
H.-D. Allescher, R. Hawes
6. Endoskopie = Arbeit im Team
Arbeitsgruppe für Endoskopieassistenz
Vorsitz: M. Engelke,
H.-J. Schulz
Congress dinner on Friday, 28 June 2013
Bus transfer to the Town Hall
19:15
Reception by the Lord Mayor
of Hannover
20:00
Dinner at the Town Hall
Garden Restaurant
Programme
18:45
Please enroll for dinner with your registration as seats are limited!
7
3. International Symposium on Complications in GI Endoscopy
Programme Saturday, 29 June 2013
08:30 – 10:00
Session 4: Reports of the working groups
Programme
Chair: E. Fedorov, M. Jung, G. Kähler
08:30
Endoskopie = Arbeit im Team
M. Engelke
H.-J. Schulz
08:45
EUS
M. Barthet
C. Meyenberger
H. Neye
09:00
Instruments and accessories
H. Feußner
T. Ortmaier
R. Tamm
09:15
ERCP
L. Aabakken
H.-D. Allescher
R. Hawes
09:30
Colonoscopy
H. Messmann
G. Rotondano
F. Schreiber
09:45
EMR/ESD/NOTES
J. Hochberger
K. Lehmann
N. Reddy
10:00 – 10:20
Coffee break
10:20 – 11:45
Session 5: Focus on hepato-bilio-pancreatic procedures
Chair: C. Germer, S. Meisner, H. Messmann
8
10:20
Selected poster abstract
To be announced
10:30
Complications in endoscopic drainage
of pancreatic fluid collections
M. Barthet
10:50
Access to the bilio-pancreatic system:
What is the right algorithm to minimise
complications?
L. Aabakken
11:10
Access to the pancreas: How to pass the
papilla without causing collateral damage
T. Ponchon
28-29 June 2013
11.30
Selected poster abstract
11:40
Discussion
11:45 – 12:00
Coffee break
12:00 – 13:45
Session 6: Standards and Future
To be announced
Chair: H. Buhr, M. Classen, N. Reddy
12:00
Iatrogene induced haemorrhage
I. Gralnek
12:20
Development of new technologies for
the prevention of complications
R. Hawes
12:40
Thinking out of the box: When medicine
and religion collide
I. Wunn
State-of-the-art lecture
13:00
Introduction
M. Classen
13:10
Quality and safety in colonoscopy
C. Williams
13:40
Farewell
P. Meier
13:45 – 14:30
Farewell lunch buffet
Programme
9
3. International Symposium on Complications in GI Endoscopy
Poster Session
Poster session,
call for abstracts
Poster Committee: I. Jovanovic, T. Wehrmann
Posters will be exhibited on 28 and 29 June 2013 at the Maritim Airport
Hotel Hannover.
The authors will be in attendance during the coffee break on Friday afternoon while the Poster Committee will evaluate the posters.
Call for abstracts
Please submit your poster abstract by 15 April 2013. Only one-page
abstracts not exceeding 250 words, written in English and saved in
Microsoft Word format will be accepted.
Abstracts must be submitted via our Internet Abstract Submission System
(http://www.falkfoundation.com/poster) where further information regarding the submission format and the submission process is available.
Please visit our congress website www.complications-in-endoscopy.com
for a link to the Falk Foundation abstract submission.
The abstracts will undergo a review by the Scientific Committee, preference being given to those thematically related to one of the sessions of
the programme. We especially encourage submissions of cases. Have
you, for example:
come across a very rare or unusual complication?
developed a special technique to deal with specific complications?
experienced a disaster?
Then we invite you to send us your abstract!
10
28-29 June 2013
All accepted abstracts will be printed and distributed to the participants
of the congress together with the documents of the meeting. The authors
will receive notification about acceptance and further instructions by
10 May 2013.
The first author of any accepted poster is invited to take part in the symposium free of registration fee. Please note: Travel expenses are not
covered.
Contact address for questions concerning the poster submission:
Falk Foundation e.V.
Leinenweberstr. 5
79041 Freiburg, Germany
Telephone: +49 (0)761 / 15 14-0
Telefax:
+49 (0)761 / 15 14-359
Web address for submitting poster abstracts:
http://www.falkfoundation.com/poster
Poster prizes
For the presenting authors of those three abstracts selected by the
Scientific Committee for oral presentation, registration fee, accommodation and travel expenses will be covered.
The three best posters, selected by the Poster Committee during the
poster session, will win a prize certificate and an award of 750,- €.
Poster Session
&
Deadline for submission of abstracts:
15 April 2013
11
3. International Symposium on Complications in GI Endoscopy
Registration
Registration,
evening programme
Please visit our congress website www.complications-in-endoscopy.com for
registration, hotel booking and further information.
Registration fee
The registration fee includes access to the lecture hall, choice of one working
group, coffee breaks with snacks, rich lunch buffets with a selection of warm and
cold dishes on Friday and Saturday, certificate of participation and the get-together
on Thursday.
Physicians:
until 15 April 2013
160,- €
from 16 April 2013
220,- €
ESGE Individual Members receive a 20% reduction on the registration fee
Nurses and students:
until 15 April 2013
40,- €
from 16 April 2013
70,- €
Team (1 physician,
until 15 April 2013
190,- €
up to 2 nurses):
from 16 April 2013
250,- €
You may either register online on www.complications-in-endoscopy.com or fill in
the enclosed registration form.
Get-together on Thursday, 27 June 2013
Participants arriving already on Thursday are invited to a get-together at the
Maritim Airport Hotel with drinks and light warm and cold dishes, starting 7 pm.
The get-together is included in the registration fee.
Congress dinner on Friday, 28 June 2013
The fee includes bus transport from the meeting venue to the restaurant and back,
reception and dinner at the beautiful Town Hall Garden Restaurant.
12
Participant:
30,- €
Accompanying Person :
45,- €
28-29 June 2013
Meeting venue, accommodation,
congress language,
travel information, contact
Meeting venue – Maritim Airport Hotel
The symposium takes place at the Maritim Airport Hotel in Hannover, Germany.
This magnificent hotel will delight you with its comfort and ideal location on the airport grounds.
Arrival by plane: The hotel is just a 2-minute footwalk away from the Arrival Hall.
Arrival by car: Take the exit to the airport from highways A2 and A7.
Arrival by train: From Hannover main station, the local tram S5 to “Hannover
Flughafen” takes you to the airport and hotel in 18 min.
A taxi from Hannover main station to the airport takes around 20 min. and costs
around 25,- €.
Hotel accommodation
We have reserved a number of rooms at a special congress rate. You may book
your room either online on our congress website or with the registration form
included in this brochure.
Single room including breakfast:
119,- €
Double / twin room including breakfast:
158,- €
Room rates include all service charges and VAT.
Congress language
The congress language is English except for the working group for nurses which is
in German.
Die Arbeitsgruppe für Endoskopieassistenz „Patientensicherheit in der Endoskopie”
findet in deutscher Sprache statt.
Contact
Meeting venue
For any further questions concerning registration and hotel booking, please
contact:
COCS GmbH – Congress Organisation C. Schaefer
Rosenheimer Str. 145c
81671 Munich, Germany
Phone: +49 (0)89 / 89 06 77-0
Fax: +49 (0)89 / 89 06 77-77
Email: [email protected]
www.cocs.de
13
3. International Symposium on Complications in GI Endoscopy
Faculty
Faculty
Aabakken, Lars, MD PhD
Professor, Chief of Endoscopy
Dept. of Medical Gastroenterology
Rikshospitalet
University Hospital
0027 Oslo, Norway
Allescher, Hans-Dieter, Prof. Dr.
Zentrum Innere Medizin
Gastroenterologie, Hepatologie
und Stoffwechsel, Klinikum
Garmisch-Partenkirchen
Auenstraße 6, 82467 GarmischPartenkirchen, Germany
Barthet, Marc, Prof. Dr.
Service d'hépato-gastroentérologie, Hôpital Nord
Chemin des Bourrely
13915 Marseille cedex 20, France
Beer, John
Beer advocaten
Weteringschans 85-87
1017 RZ Amsterdam, Netherlands
Buhr, Heinz, Prof. Dr.
Klinik für Allgemein-, Gefäß- und
Thoraxchirurgie, Charité – Campus
Benjamin Franklin
Hindenburgdamm 30
12200 Berlin, Germany
Classen, Meinhard, Prof. Dr. Drs.
h.c., Em. Direktor II.Med. Klinik
Klinikum rechts der Isar
Technische Universität München Ismaninger Straße 22
81675 München, Germany
Csomós, Guido, Dr.
Helios Hanseklinikum Stralsund
Medizinische Klinik
Große Parower Straße 47-53
18435 Stralsund, Germany
Dinis-Ribeiro, Mario, MD PhD
Servico de Gastrenterologia
Instituto Portugues de Oncologia
'Francisco Gentil'
Rua Dr Antonio Bernardino de
Almeida
4200-072 Porto, Portugal
14
Engelke, Monika
Bildungszentrum Ruhr
Hospitalstraße 19
44649 Herne, Germany
Fedorov, Evgeny D., Prof. Dr.
University Hospital No. 31
Russia State Medical University
Dept. of Digestive Endoscopy
Lobachevskogo Str. 42
119415 Moscow, Russia
Feußner, Hubertus, Prof. Dr.
Chirurgische Klinik und Poliklinik
Klinikum rechts der Isar
Technische Universität München
Ismaninger Straße 22
81675 München, Germany
Germer, Christoph-T., Prof. Dr.
Klinik & Poliklinik für Allgemeinund Viszeralchirurgie, Gefäß- und
Kinderchirurgie
Universitätsklinik Würzburg
Oberdürrbacher Straße 6
97080 Würzburg, Germany
Gralnek, Ian, Prof. Dr. FASGE
Department of Gastroenterology
Rambam Health Care Campus
Rappaport Faculty of Medicine
Technion-Israel Institute of
Technology
8 Ha'Aliyah Street
Haifa, 35254, Israel
Jähne, Joachim, Prof. Dr.
Klinik für Allgemein- und
Visceralchirurgie
Diakoniekrankenhaus
Henriettenstiftung gGmbH
Marienstraße 72-90
30171 Hannover, Germany
Jovanovic, Ivan, MD, PhD
Ass. Professor of Internal
Medicine, Medical School,
University of Belgrade
Clinic for Gastroenterology and
Hepatology
Clinical Center of Serbia
2 Koste Todorovic Street
11 000 Belgrade, Serbia
Jung, Michael, Prof. Dr. FRCP
Klinik für Innere Medizin
Gastroenterologie, Onkologie u.
Diabetologie
St. Hildegardis Krankenhaus
Hildegardstraße 2
55131 Mainz, Germany
Kähler, Georg, Prof. Dr.
Leiter der Zentralen
Interdisziplinären Endoskopie
Universitätsmedizin Mannheim
Medizinische Fakultät der
Universität Heidelberg
Theodor-Kutzer-Ufer 1-3
68167 Mannheim, Germany
Hawes, Rob, MD PhD FASGE
Center for Interventional
Endoscopy
Florida Hospital Orlando
610 East Rollins St
Orlando, FL 32803, USA
Lehmann, Kai, Dr.
Klinik für Allgemein-, Gefäß- und
Thoraxchirurgie
Charité – Campus Benjamin
Franklin
Hindenburgdamm 30
12200 Berlin, Germany
Hochberger, Jürgen, Prof. Dr.
Département de Hépatogastroentérologie, Hôpitaux
Universitaires de Strasbourg
Nouveau Hôpital Civil
1 Place de l'Hôpital - BP 426
67091 Strasbourg Cedex, France
Meier, Peter N, Dr. FASGE
Medizinische Klinik II Gastroenterologie
Diakoniekrankenhaus
Henriettenstiftung gGmbH
Schwemannstraße 17
30559 Hannover, Germany
28-29 June 2013
Faculty
Meining, Alexander, Prof. Dr.
II. Medizinischen Klinik
Klinikum rechts der Isar
Technische Universität München
Ismaninger Straße 22
81675 München, Germany
Ortmaier, Tobias, Prof. Dr.-Ing.
Leibniz Universität Hannover
Institut für Mechatronische
Systeme
Appelstr. 11a
30167 Hannover, Germany
Seufferlein, Thomas, Prof. Dr.
Klinik für Innere Medizin I
Zentrum für Innere Medizin
Universitätsklinikum Ulm
Albert-Einstein-Allee 23,
89070 Ulm, Germany
Meisner, Søren, MD
Head of GI Endoscopy Unit
Bispebjerg University Hospital
Bispebjerg Bakke 23
2400 Copenhagen NV, Denmark
Pohl, Jürgen, Prof. Dr.
HSK Dr.-Horst-Schmidt-Kliniken
II. Medizinische Klinik
Ludwig-Erhard-Straße 100
65199 Wiesbaden, Germany
Siersema, Peter, Prof. Dr.
Academisch Ziekenhuis Utrecht
Afd. Gastroenterologie
Heidelberglaan 100
3584 CX Utrecht, Netherlands
Mergener, Klaus, MD, PhD, MBA
Director, GI Hospitalist Services
Digestive Health Specialists
Clinical Medical Director,
Gastroenterology
MultiCare Health System
Tacoma, Washington, USA
Ponchon, Thierry, Prof. Dr.
Hôpital Eduard Herriot
Specialité Digestive, Pavillon H
Place d’Arsonval
69437 Lyon, France
Tamm, Rüdiger
Senior Product Manager
Gastroenterology
Gastroenterology and Respiratory
Endoscopy
Medical Systems Division
Olympus Europa Holding GmbH
Wendenstraße 14-18
20097 Hamburg, Germany
Messmann, Helmut, Prof. Dr.
III. Medizinische Klinik mit S.
Gastroenterologie
Klinikum Augsburg
Stenglinstraße 2
86156 Augsburg, Germany
Meyenberger, Christa, Prof. Dr.
Ärztliche Leitung
Gastroenterologie Department
Innere Medizin-Haus 01
Kantonsspital St. Gallen
9007 St. Gallen, Switzerland
Neumann, Helmut, Prof. Dr.
Medizinische Klinik 1
Interventionelle Endoskopie
Universitätsklinikum Erlangen
Ulmenweg 18
91054 Erlangen, Germany
Reddy, Nageshwar, Prof. Dr.
Chairman
Asian Institute of Gastroenterology
6-3-661, Somajiguda,
Hyderabad - 500 082, India
Rotondano, Gianluca, MD FASGE
FACG, Division of Gastroenterology
Hospital Maresca
Via Cappella Vecchia 8
80121 Napoli, Italy
Schreiber, Florian, Prof. Dr.
Klin. Abt. für Gastroenterologie
und Hepatologie, Universitätsklinik
für Innere Medizin, Medizinische
Universität Graz
Auenbruggerplatz 15
8010 Graz, Austria
Schulz, Hans-Joachim, Prof. Dr.
Klinik für Innere Medizin I, Gastroenterologie und Akutgeriatrie
Sana-Klinikum Lichtenberg
Fanningerstraße 32
10365 Berlin, Germany
Weber, Josef, Dr.
Centre Hospitalier Luxembourg
Dept. Hepatogastroenterologie
4, rue Barblé
1210 Luxembourg, Luxembourg
Wehrmann, Till, Prof. Dr.
Fachbereich Gastroenterologie
Stiftung Deutsche Klinik für
Diagnostik
Aukammallee 33
65191 Wiesbaden, Germany
Williams, Christopher, BM FRCP
FRCS
Endoscopy Unit
The London Clinic
London, W1N 2DH
UK
Faculty
Neye, Holger, Dr.
HELIOS Klinikum Emil von Behring
Klinik für Innere Medizin II
Walterhöferstraße 11
14165 Berlin, Germany
Ragunath, Krish, MD DNB MPhil
FRCP(Edin) FRCP(Lond), Nottingham Digestive Diseases Centre,
NIHR, Queens Medical Centre
Campus, Nottingham University
Hospitals NHS Trust
Nottingham NG7 2UH, UK
Wunn, Ina, Prof. Dr. Dr.
G. W. Leibniz-Universität
Hannover
Leinstraße 8
30159 Hannover, Germany
15
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Advancing the Art of Endoscopy.
In the pursuit of the perfect endoscopy system, Olympus introduces EVIS EXERA III
as the next milestone towards improved clinical outcomes.
For more information, please visit www.olympus-europa.com/EXERA3
Postbox 10 49 08, 20034 Hamburg, Germany | Tel. +49 40 23773-0 | www.olympus-europa.com
3. International Symposium on Complications in GI Endoscopy
28 - 29 June 2013, Maritim Airport Hotel Hannover
Online registration under: www.complications-in-endoscopy.com
Please use capital letters.
 Prof.
Title
 Dr.
 Mrs.
 Mr.
First name
_____________________________________________________________________________________________
Family name
_____________________________________________________________________________________________
Institution, Department
_____________________________________________________________________________________________
Street
_____________________________________________________________________________________________
Postal Code
_____________________________________________________________________________________________
City/Country
_____________________________________________________________________________________________
E-Mail
_____________________________________________________________________________________________
Statistics:
 Office-based physician
 Hospital-based physician
Specialisation:
 Gastroenterology
 Internal Medicine
 Surgery
 Others: __________________________________________
REGISTRATION FEE




Physician
Nurse
Student
Team (1 physician and max. 2 nurses)
UNTIL 15 APRIL 2013
160,40,40,190,-
FROM 16 APRIL 2013
€
€
€
€
220,70,70,250,-
€
€
€
€
Please fill in one form for each team member!
 ESGE individual member (please tick)
Please choose one of the following working groups, 28 June 2013 from 16:30 to 18:00 (no extra charge)
 WG 1: EMR/ESD/NOTES
 WG 2: Colonoscopy
 WG 3: ERCP
 WG 4: Instruments and accessories
 WG 5: EUS
 WG 6: Patientensicherheit in der Endoskopie (in German)
Registration fee total: ____________
RECEPTION AND DINNER at the Town Hall Garden Restaurant on 28 June 2013
 Participant:
30,- €
 Accompanying person: 45,- €
Dinner fee total: ____________
HOTEL BOOKING, Maritim Airport Hotel Hannover (Flughafenstr. 5, 30669 Hannover)
Check in _____ June 2013
Check out _____ June 2013
Rates are per room and night, incl. breakfast, service and VAT.
 single room 119,- €
 double room 158,- €
Estimated arrival time: _______________
Special wishes:  non-smoking room
 smoking room
= _____ nights
______________________________________________________________________________________
Hotel fee total: ____________
TOTAL AMOUNT: ____________
REGISTRATION
Please register via our website www.complications-in-endoscopy.com or complete this registration form and fax it to
+49 (0)89 / 89 06 77-77. The final registration date is 21 June 2013. Please register after this date on site.
PAYMENT
Please choose between bank transfer or credit card payment.
 bank transfer
Please pay the total amount to the following account:
Account holder: COCS GmbH
Bank name: HypoVereinsbank München
Bank code: 700 202 70
Account: 39613140
IBAN: DE30 7002 0270 0039 6131 40
BIC: HYVEDEMMXXX
Reference: CIE2013 & name of the participant
All bank charges must be covered by the participants
directly.
 credit card (Visa or Master)
_________________________________________
Name of credit card holder
_________________________________________
Credit card number
_________________________________________
Exp. Date (Month/Year)
I hereby authorize COCS GmbH to charge the total amount
from the credit card.
CANCELLATION
Congress Registration
Cancellation in written must be received not later than 14 June 2013. A service fee of 20.- € will be deducted from the refund
amount. Registration fees will not be refunded if cancellations are received at a later date.
HOTEL RESERVATION
We kindly ask you to settle all additional expenses during check out at the hotel.
Changes in reservation and cancellations must be reported in written to COCS GmbH (not to the hotel). If the guest cancels a
reservation prior to 26 April 2013 a cancellation fee of 20,- € per room reservation and per night will be charged; any bank charges
that may arise as a result of such a cancellation will be covered by the guest him-/herself. After that date, COCS GmbH and the
hotel certainly try to resell cancelled rooms, but if this is not possible the cancellation fee of the hotel (up to 100% of the room
rate) will be charged to you.
Please also be aware in the case of a later arrival or an earlier departure some hotels will charge you the total number of nights
booked, if the nights cannot be resold.
_____________________________________________________________________________________________________________________
Date, Signature
For further questions, please do not hesitate to contact:
COCS GmbH – Congress Organisation C. Schaefer – Rosenheimer Str. 145c – 81671 Munich, Germany
Tel: +49 (0)89 / 89 06 77-23 – Fax: +49 (0)89 / 89 06 77-77 – E-Mail: [email protected]