INTERNATIONAL SERVETUS CONGRESS

BARCELONA OCTOBER 20-21, 2006
SERVETUS INTERNATIONAL SOCIETY
Email to: congress@servetus.org

REGISTRATION FOR ONE DAY

Registration for only on day can be made before 18 th October 2006 registration fee for only one day is 45,00€.

This fee includes:

• Participation in the Conference during that day.
• Credential.

Your Details

One registration for Assistance.

Title (Mr, Mrs etc):
First Name(s):	*
Last Name:	*
Position:
Organisation/Company:
Street:	*
City:	*	Postal Code:	*
Country:	*
Phone:	*	e-mail:	*

* Required field
Do you have any questions? Please send us an e-mail!

Registration

Standard Registration for Friday and Saturday	90 EURO
Standard Registration for Friday	45 EURO
Standard Registration for Saturday	45 EURO

Do you have any questions? Please send us an e-mail!

Special Requirements

Please enter any special requirements you may have below:

All rates are stated in EURO.
Do you have any questions? Please send us an e-mail!

Payment

Once the Registration form has been completed and submitted you must pay the fee in order to Register. The payment can be made by credit card or by bank transfer. Follow the payment instructions after you submit.