31st Annual Meeting of the

FETAL AND NEONATAL PHYISIOLOGICAL SOCIETY

September 11-15, 2004 - “Il Ciocco” International Centre - Castelvecchio Pascoli (Tuscany), ITALY
 

 

Registration Form

     
   Registration

  Total fee is 550,00 € per person (double room) or 700,00 € (single room) and includes:
  full board and lodging, gala dinner, transfer from/to Pisa Airport/ Railway station, coffee breaks, and abstract book.

  Students: The organizing committee may be able to offer a reduction in the cost of registration (as a refund) to
  Students. If you wish to be considered for this refund tick the box in the abstract form. A letter confirming your
  status from the Head of Department will be required.

   Deadline:
  Closing date for early bird registration will be July 30, 2004

  Registration Form:
  This registration form allows you to register electronically. Once you register using this form you will
  receive an e.mail confirming your preliminary registration

  Payment:
  All payments must be made in EUR by
bank transfer to:
 
(the bank charges should be payed by participants)

  Account name: Alfa Snc
  Account number: IT 46 Y 02008 03313 000003217714
 
SWIFT: UNCRIT 2B
  Bank: Unicredit Bank - Viale Angelico - Rome - Italy

  Remember to state name of the participant and "FNPS 2004" on all payments!
  If you require any other payment method please contact the organizers.

 Please send the registration form and the copy of the bank transfer to: fax +39063729067
 

  444 DWL the Registration form .pdf  

____________________________________________________________

       
Title:    
First name: Surname:
Company/Organization: Department:
Address: Postal code:
City: Country:
Tel: Fax:
E-mail:    
        
single room double room

 

 
       

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