Fri, 03 Nov 2017
10th EstSPEN Anniversary seminar
Sat-Sun, 04-05 Nov 2017
10th Baltic Clinical Nutrition Course: A Complicated Gut
*First name
*Last name
*E-mail address
*Occupation
*Employer
*Which dates will you be attending (please choose one of the options)?
All 3 days, Friday-Sunday 03-05 Nov
Only Friday, 03 Nov
Only Saturday and Sunday, 04-05 Nov
Invoice details (if needed)
Name of the company
Address
Registration number
E-mail address to send an invoice
Participation fee:
3 days for 250 EUR (03-05 Nov)
2 days for 200 EUR (Saturday and Sunday only, 04-05 Nov)
1 day for 100 EUR (Friday only, 03 Nov)
We kindly ask you to pay the participation fee by 25th October at the latest on EstSPEN bank account:
Name of the receiver: Eesti Kliinilise Toitmise Selts
IBAN: EE081010220074883010
SWIFT code (BIC): EEUHEE2X
For the explanation of the transfer, please mention the name of the participant.
SEND
This online form is powered by research survey tool
eFormular
.