REGISTRATION FORM
3rd Symposium on Hospital Pharmacy Practice in Serbia
Surname: * Name: *
Instittution: *
Address: * Postcode/City/Country: *
E-mail: * Contact phone: *
Mobile phone:
*Obavezna polja!
REGISTRATION FEE
Registration Fee for first day: 100 EUR REG_FEE_FOR_FIRST_DAY: YES
Registration Fee for complete Symposium: 130 EUR REG_FEE_FOR_BOTH_DAYS: YES
MODE OF PAYMENT - BANK ACCOUNT
Institution or Personal name VAT:
Address/City/Country: E-mail:
IMPORTANT NOTE! All prices are in EUR. After receipt of the registration form, the executive organizer will send the proforma invoice with deadline for payment.
Deadline to send Registration form is February 10th, 2019.
 I agree with the terms of participation to the Symposium.* I agree with the terms of participation to the Symposium.
 
 
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