MODULO DI REGISTRAZIONE

















    If you need a visa, send a copy of your passport.

    registration fees (NON- REFUNDABLE):

    PARTECIPANT: 1586 € VAT INCLUDED

    observer:  610 € VAT INCLUDED

    (hotel **** for 3 nights, social dinner, attendance certificate, insurance)

    PAYMENT METHOD: BANK TRANSFER

    BANK DETAILS:

    NEUROMED spa

    BANCO BPM

    02481-CAMPOBASSO

    IBAN: IT96A0503403801000000004387

    SWIFT: bappit21q81

    PAYMENT DETAILS: LIST THE TILE OF THE COURSE YOUR ARE ATTENDING

    To submit send THE APPLICATION AND PAYMENT RECEIPT TO: cadaverlab@neuromed.it