Spinciceva 1, 21 000 SPLIT, CROATIA, tel: (+385 21) 556 111, fax: (+385 21) 365738

2nd  CROATIAN  CONGRESS  ON PATHOLOGY
 AND  FORENSIC  MEDICINE
REGISTRATION AND CONGRESS FEE

* Registration fee for lectures only - 70 EUR per person (includes a copy of the congress proceedings, participation on the reception party and sightseeing)
* Registration with attending 1 workshop - 100 EUR
* Registration with attending 2 workshops - 120 EUR
For students, residents and retired participants the registration fee is 50% reduced (proceedings not included)
 
 



CROATIAN MEDICAL ASSOCIATION
CROATIAN SOCIETY OF PATHOLOGY AND FORENSIC MEDICINE

2nd CROATIAN CONGRESS ON PATHOLOGY AND FORENSIC MEDICINE
September, 21st-23rd, 2000 - Split, Croatia

REGISTRATION FORM
(please type in block letters)
 

NAME

FAMILY NAME

TITLE

DEPARTMENT

INSTITUTION

ADRESS

CITY, POSTAL CODE

COUNTRY

PHONE

FAX

E - MAIL

ACCOMPANYING PERSON(s)
 1.
 2.

REGISTRATION FEE (please select appropriate options)
 PARTICIPANTS
   * lectures only  70 EUR
   * lectures + 1 workshop 100 EUR
   * lectures + 2 workshops 120 EUR
   * students, residents

 ACCOMPANYING PERSON
   *   40 EUR
 

 TOTAL PAYMENT:    ------------

All payments should be made to this account:
Account?s number 34400 - 603 - 10259
Call on the number 02 - 556
For interest of kongres patologa

Please send this form together with copy of Your bank transfer to :
Address: Department of pathology, KB Split, Spinčićeva 1, 21000 Split, Croatia
Tel/fax: 00385 - 021 - 365 - 057
E-mail: patkong@kbsplit. hr