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Registration for the second International Congress on Maternal Hemodynamics

Universiteit Hasselt - Knowledge in action

REGISTRATION FOR THE SECOND INTERNATIONAL CONGRESS ON MATERNAL HEMODYNAMICS

Rome, 12-14 May 2016

 
  Title : (*)
  First name : (*)
  Last name : (*)
  University/organisation/company : (*)
  Street : nr : bus : (*)
  Postal code :  City:  (*) 
  State :
  Country : (*)
  E-mail : (*)
  Tel/Cell phone number (+country code) : (*)

  I will attend the scientific program :(*)

  on Thursday 16/10/2014
  on Friday 17/10/2014
  on Saturday 18/10/2014

  I'm a :

  Student or Midwive


  Social Program (*) :

  I will attend the openings ceremony & reception
     on Thursday 16/10/2014 at 20u00  
  I will attend the congress dinner
     on Friday 17/10/2014 at 20u00
  I will attend the closing reception
  I will not participate

  Comments :


  ISUOG core membership is being offered at the course at your discretion.
Include one year’s membership to ISUOG, please tick this box :

  Total amount to be paid :
(*)mandatory fields