Name : *

Surname : *

Gender : *

Select Male Female

Institution : *

Cell Phone : *

Email Address : *

EHOG Membership : *

Select EHOG Member Non-Member

Registration Type : *

Select Registration & Single Room Registration & Per Person in Double Room Registration Only Company Representative Registration Accompanied Person

Room Type :

Select Single Room Double Room

Please indicate if you prefer a smoking room. *

I prefer a smoking room.

Check-In Date : *

Check-Out Date : *

Dietery Restrictions :

Please indicate if you have any food allergies or special dietary needs (such as Diabetic, Celiac, Gluten-free, Halal, Kosher)

Invoice Information (Please indicate include all the necessary information for your invoice) : *

Payment Type : *

Select Mail Order Bank Transfer