Payment by bank transfer is required prior to registration.
Please, fill in all fields.
Treatment (Prof., Dr., etc): | |
First Name*: | |
Family Name*: | |
E-mail*: | |
Institution: | |
Country: | |
Regular attendant | |
Student |
Bank remittance receipt (only pdf files are allowed)
Filename (up to 2MB):
Comments, questions or suggestions:
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