Conference registration

Delegate

Title *
Last Name *
First Name *
Company *
Address *
ZIP Code *
City *
Country *
Phone *
Email *
Payer (if different from delegate)
Company *
Title *
Last Name *
First Name *
Occupation *
Address *
ZIP Code *
City *
Country *
Phone *
Email *

Registration fees

I'm a GERPAC member

I'm not a GERPAC member
Interns (200 €)

Pharmacy technician (460 € - limited to a total of 70 registrations)

Hospital pharmacist (550 €)
Interns (200 €)

Pharmacy technician (580 € - limited to a total of 70 registrations)

Hospital pharmacist (720 €)

These fees include: administrative handling costs, scientific conference, coffee breaks, lunches on October 4, 5 and 6 and evening dinners on October 4 and 5 2023.

Accommodation

The GERPAC has booked the Belambra (where the conference will be held) and offers you accommodation on the spot.

As a result of the success of the annual conference, a new building for accommodation, the "Riviera Beach", will be opened up for participants as soon as the initial capacity has been reached. This building is 3 kms from the conference site and there will be a shuttle service. We would invite you to register as soon as possible.

You have two options for accommodation :

Single : 1 individual room with bathroom.
Shared : 2 individual rooms with a shared bathroom for 2 people.

Please select *

No accomodation

Single (120€ / night)

Shared (60€ / night, 2 rooms)
I confirm I am not interested in the accommodation

Please specify the name and email address of the person who will be taking the neighbouring room

Title
Last Name
First Name

Please select the nights you wish to book

Night of 04/10/2023 (120€ with breakfast)
Night of 05/10/2023 (120€ with breakfast)
Night of 04/10/2023 (60€ with breakfast)
Night of 05/10/2023 (60€ with breakfast)

Transfers

The Gerpac has booked shuttles to and from the airport of Toulon-Hyères and from the Toulon main line railway station to the Belambra on the Giens peninsula.

I wish to use the shuttles
Please choose *

I don't know my Schedule yet.

I choose my arrival and departure.
Arrival schedule on the wednesday, october 4
- Airport (Toulon-Hyères) shuttle to Congress Center *
  
  09h05
- Train station (Toulon) shuttle to Congress Center *
  
  12h15
  
  13h30
Departure schedule on the friday, october 6
- Congress Center Shuttle to Airport (Toulon-Hyères) *
  
  13h40
  
  xx
- Congress Center Shuttle to train station (Toulon) *
  
  11h30
  
  13h00

Total registration

Registration fees
Accomodation
Transfers
Total

Payment

Payment *

Credit card

Check

Wire transfert

Message

I you have any further question or information, please fill here above.

Final validation

All information provided are exact