8.int.Meeting of the Austrian Foot Society

REGISTRATION
FORM

Veranstaltung

Family Name *

First Name *

Title

Mailing Address *

Country*

Institution*

Telephone*

Telefax

e-mail *

Participation

Member of the
Austrian Foot Society

Non-Member of the
Austrian Foot Society

Residents / Colleagues from Eastern Europe

One-Day Participation

Speakers

Fee

Euro 170,00

Euro 220,00

Euro 170,00

Euro 73,00

FREE

Registration Fee *

Your Registration Fee is payable to:

Österreichische Gesellschaft für Fußchirurgie
Raiffeisen RegionalBank Fieberbrunn • BLZ (Bank Number): 36254
Konto (Account Number): 2042422
SWIFT Code: RZTIAT22254
IBAN: AT 36 36254 00002042422
Verwendungszweck: Fußkongress Going 2009

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