Angiological days 2003

REGISTRATION FORM

Please complete and together with payment confirmation send to the secretariat:

Czech Medical Association JEP
Congress Department
Sokolská 31, 120 26 Prague 2, Czech Republic
phone: +420 224 26 62 28, +420 224 26 62 05
fax: +420 224 26 62 06
e-mail: congress@cls.cz

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REGISTRATION FEES	before February 15th, 2003	after February 15th, 2003
Full registration fee	35 EUR	40 EUR
1 day registration fee	15 EUR

I confirm that I pay the registration fee of the amount of EUR.

Angiological days 2003

REGISTRATION FORM

Items with color background are obligatory!

REGISTRATION FEES

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