24.08.2013 Views

Information & Programme - ESGE

Information & Programme - ESGE

Information & Programme - ESGE

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>ESGE</strong> – SUPPORTED<br />

INTERNATIONAL ENDOSCOPY WORKSHOP<br />

BULENDO 2013<br />

MILITARY MEDICAL ACADEMY<br />

SHERATON SOFIA HOTEL BALKAN<br />

Hall “Royal 2-3”<br />

SOFIA - BULGARIA<br />

Friday, May 10 - Saturday May 12, 2013<br />

REGISTRATION FORM<br />

I prefer to be accommodated in hotel:<br />

.…………………………......................................<br />

Type of room<br />

ReGISTRATIon FoRm<br />

Participant’s details<br />

Title City<br />

First Name Country<br />

Family Name Postal code<br />

Institution Address<br />

– single<br />

– double<br />

Phone<br />

E-mail Fax<br />

Address of invoice, if it is not the participants name and<br />

address<br />

( You must indicate the second person )

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!