REGISTRATION FORM
10th Congress of Toxicology in Developing Countries & 12th Serbian Congress of Toxicology
Title: *
Surname: * Name: *
Institution: *
Address: * Postcode/City/Country: *
E-mail: * Contact phone: *
Mobile phone: *
*Required fields!
REGISTRATION FEE Before 31 January 2018 1 February 2018 – 15 April 2018 After 15 April and onsite
Full registration 300 EUR FULL_REG_TILL_31_JAN: YES 350 EUR FULL_REG_1_FEB_15_APR: YES 380 EUR FULL_REG_AFTER_15_APR: YES
Full registration for SETOX members 240 EUR SETOX_MEMBERS_TILL_31_JAN: YES 280 EUR SETOX_MEMBERS_1_FEB_15_APR: YES 310 EUR SETOX_MEMBERS_AFTER_15_APR: YES
Students 180 EUR STUDENTS_TILL_31_JAN: YES 200 EUR STUDENTS_1_FEB_15_APR: YES 220 EUR STUDENTS_AFTER_15_APR: YES
Students SETOX members 150 EUR STUDENTS_SETOX_MEMBERS_TILL_31_JAN: YES 160 EUR STUDENTS_SETOX_MEMBERS_1_FEB_15_APR: YES 180 EUR STUDENTS_SETOX_MEMBERS_AFTER_15_APR: YES
CE course * 60 EUR CE_COURSE_TILL_31_JAN: YES 80 EUR CE_COURSE_1_FEB_15_APR: YES 100 EUR CE_COURSE_AFTER_15_APR: YES
Accompanying person ** 80 EUR ACCOMPANYING_PERSON_TILL_31_JAN: YES 100 EUR ACCOMPANYING_PERSON_1_FEB_15_APR: YES 120 EUR ACCOMPANYING_PERSON_AFTER_15_APR: YES
We invite you to taste the famous Serbian food and hospitality at the Gala Dinner - 60 EUR  GALA_DINNER: YES
PAYMENT INFORMATION
Invoice address: VAT:
Address/City/Country: E-mail:
IMPORTANT! Registration fees must be paid in EUR by BANK TRANSFER.
The bank details will be sent to a participant within 3 working days after the submission of the registration form.

 I agree with the terms of participation to the Conference* I agree with the terms of participation to the Conference and with the General Terms of the Agency
 
Please note that payments by bank transfer will only be accepted by April 10, 2018
 
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