Cardio-Rheumatology Course

Cardio-Rheumatology Course Registration

Please complete the registration form below.

Early bird registration fee, before 1st August, 50,- euro

Registration fee, after 1st August, 75,- euro

After registration you will receive an invoice. We ask you to pay within two weeks.

Note: in order to register you must agree with the General Conditions (click here to view)

Pre title:

Initials*

Surname:*

Gender Female Male

BIG-number:

Profession:

Institute

Department:

Invoice address street:*

Invoice address city*

Country

E-mail:*

Telephone:

You agree with the General Conditions*

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