12 ISFC Registration Fees
I am interested in attending the 12ISFC BRNO 2006
I would like to registrate:
I would like to registrate:
Please duplicate this form as required and submit one of each Accompanying Person. Ensure that any accommodation requirements are detailed on the Accommodation Form, and that all items required have been inserted on the Payment Form.
Registration form and payment before February 30. 2006
Return to:
NutriVet Ltd.
Vídeňská 1023
Pohořelice
ZIP code: 691 23
Czech Republic
Vídeňská 1023
Pohořelice
ZIP code: 691 23
Czech Republic
or to e-mail address: 12ISFC@seznam.cz
fax: +420 519 424 247
For more information you can call to secretary of symposium:
Dita Vosynková PharmDr. tel: +420 603 992 477
Dita Vosynková PharmDr. tel: +420 603 992 477