Advanced Prostate Cancer Consensus Conference

Advanced Prostate Cancer
Consensus Conference: APCCC 2019

29-31 August 2019, Basel/Switzerland

Reimbursement

APCCC 2019 - Payment for expenses

We kindly ask you to complete the form below to receive the lump sum for all your expenses as per signed agreement.

The deadline for the submission of your bank details to claim the payment is Friday, 6 October 2019.

Please note that bank charges have to be borne by the recipient, therefore it is possible that the received amount is lower in the end.

Payment will only be done if you have actually attended APCCC2019 in Basel.

APCCC - Travel Grant Payment

Personal Data
Personal Data
Bank Details
Bank Details
(If your resident country does not support IBAN, please provide the corresponding bank account number and BIC)
General