ON-LINE REGISTRATION FORM
Event:

Surname:

 *

Name:

 *
Institution: *
Address: *

ZIP code and place:

 *

Contact phone:

 *

E-mail:

 *

Fax:

 *

Mobile:

Fields marked with * must be filed

FDS Membership Card Number:       

ID of Pharmaceutical Chamber of Serbia       

COTISATION

Category

Until July 10, 2010.

After July 10, 2010.

Members of FDS

120

150

Participants  

150

180

Students *

50

50

Accompanying persons

50

80

* Postgraduate and students (doctoral and specialist studies) under age of 35 are entitled to cotisation.
Student's status has to be validated with student's booklet or appropriate certificate.
GALA DINNER - (October 16, 2010 - Sava Center)
Per person                                             50 EUR

CANCELLATION
Cancellation and refund of paid cotisation will be accepted 30 days before the start of the Congress, the latest, with 30% reduction. After the deadline no refund will be accepted.

MODE OF PAYMENT                          Cash                                  Bank Account


Following data are mandatory for the proforma invoice:
Name/Address

VAT

Fax

Important Note!
●●● All prices are in EUR.
●●● After receipt of the registration form, the executive organizer will send the proforma invoice with deadline for payment.
●●● The executive organizer retain the right to make changes of terms and prices in case of changes of transportation fares, disorders on the monetary market and unpredictable circumstances.
●●● Deadline to send Registration form is September 30, 2010

 
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