7th VIP-ZM-Congress - "BIOLOGICAL IMPLANTOLOGY"
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PARTICIPATION FEES<br />
Fees for the 3-day congress<br />
For <strong>VIP</strong>-<strong>ZM</strong> e.V. members: for free<br />
For non-<strong>VIP</strong>-<strong>ZM</strong> members: € 495<br />
For accompanying person: € 90<br />
(including street food market)<br />
Become a <strong>VIP</strong> member by filling in this enclosed form or at: www.vip-zm.de<br />
Information about<br />
<strong>VIP</strong>-Membership<br />
info@vip-zm.de<br />
Title<br />
by Mail<br />
by E-Mail<br />
fax +49 (0)6131 492 41 37<br />
<strong>VIP</strong>-<strong>ZM</strong> e. V.<br />
Silvaner Straße 13a<br />
55129 Mainz<br />
First Name/Surname<br />
Address<br />
ZIP Code<br />
WELCOME TO<br />
THE <strong>VIP</strong>-<strong>ZM</strong> e. V.<br />
... the only<br />
dentists‘ lobby<br />
By submitting this form, you accept that <strong>VIP</strong>-<strong>ZM</strong><br />
e. V. uses and saves your data for the purpose of<br />
notifying you concerning the society membership.<br />
You can cancel your data anytime via:<br />
datenschutz@vip-zm.de<br />
Phone<br />
E-Mail<br />
Date<br />
Some of our tasks:<br />
public relations; legal,<br />
forensic Dentistry, and<br />
calculation themes;<br />
cooperation and communication<br />
with other<br />
societies, associations,<br />
science, research, and<br />
universities; continuing<br />
education program<br />
arrangements<br />
Signature/Stamp<br />
12
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