NASO – TIROIDE – COLLO GHIANDOLE SALIVARI

REGISTRATION FORM



    PLEASE FILL IN THE FORM BELOW. WE’LL CONTACT YOU AS SOON AS POSSIBLE!



















    This form can be submitted up to 6 times.

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

     

    registration fees (NON- REFUNDABLE):

    PARTECIPANT: 1200 € + vat

     (hotel **** for 2 nights, social dinner, attendance certificate)

     

     

    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

        

    * The Neuromed Necroscopy Center is a no profit Laboratory. All the economic entries received are used for research and training activities related to the Laboratory.