REGISTRATION FORM / PARTICIPATION

Veranstaltung
Family Name *
Title
First Name, Title *
Mailing Address *
Country*  
   
Institution*
   
Telephone*
Telefax
e-mail *
Registration Fee *
   
     


Participation


Member of the Austrian Foot Society

Non-Member of the Austrian Foot Society

Residents / Colleagues from Eastern Europe

One-Day Participation

Speakers
Fee after 2011-01-31


Euro 170,00

Euro 220,00

Euro 170,00

Euro 73,00

FREE



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 2011







 
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