Application Form - EUR
6th International congress of the Society of coronary ICUs of Serbia
Surname: * Name: *
Institution: *
Address: * Zip code / City: *
E-mail: *
ID licence LKS:
* Mandatory fields!
REGISTRATION FEE
Registration fee for participation in the entire work of the Congress 100 KOTIZACIJA_100: DA
ACCOMMODATION - per person based on 2 half board (buffet) and BTO.
HOTEL Single Room Double Room Double superior
FONTANA **** 248 FONTANA11: DA 179 FONTANA12: DA 213 FONTANADBLAPP12: DA
double room with:
The number of single rooms is limited and will be filled in the order of payment.
CANCELLATION - Cancellation of accommodation – according to the General Terms of the Agency.
MODE OF PAYMENT - BANK ACCOUNT
 LICNO PLACANJE: DAPersonal
 PLACA USTANOVA ILI SPONZOR: DAInstitution or sponzor
Name: VAT:
Address: E-mail or Faks
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. The executive organizer retains the right to make changes of terms and prices in case of changes of transportation fares, disorders on the monetary market and unpredictable circumstances.
Deadline to send Registration form is September 5, 2022.
 Saglasan sam sa uslovima ucesca na skupu i sa Opstim uslovima putovanja agencije*I agree with the terms of participation to the Congress.
 
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